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Every member has a right to be educated and empowered in their health care decisions
Demand Management® is about educating members on how to make appropriate use of health care services, being in control through informed choice and spending one’s health Rand wisely.
Managing demand concerns getting people the care they need, when they need it, in a way that leaves them satisfied with their health care encounter. The member remains in the driving seat, retains freedom of choice and is not financially compromised.
Demand Management® is therefore not a process of limiting benefits but rather a process that seeks to ensure that the right patient gets the right treatment, at the right time for the right price.
Demand Management® encourages behavioural change and empowerment through professional education, case management and personalised nurse support.
Private Health Administrators™ uses Registered Nurses who are trained in the philosophy of Demand Management®, for claims processing and managed care interventions in order to provide the decision support and education of members of Schemes under administration.
Notes
- Demand Management® is the “use of decision support and self management to enable and encourage individuals to make appropriate use of medical care through informed choice” (Vickery and Lynch 1995).
- The term Demand Management®, in healthcare, is trademarked by Sweidan Trust (Pty) Limited. Permission to use this was granted for the purpose of this website.
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