By Boccardo L., Pellacci B.

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The Private Sector There are various concepts of primary care and general practice in South Africa. The South African Medical and Dental Counci I has held that a general practitioner is a doctor who is not on the special ist register. Publ ic opinion, and that of many doctors, sti II holds that a general practitioner is a doctor who conducts a non-specialist general practice for which he is in receipt of fees from patients. This definition would exclude, for example, doctors working in rural district hospitals, health centres or other sectors such as district surgeoncies.

The sick funds of course generate the money through premiums from their members and the members' employers. Significance of the Reimbursement System The system may seem complicated. But it is necessary because it eases the task of the individual physician for whom it would be quite a burden to deal with potentially over a thousand sick funds on an individual basis. On the one hand. V. in order to fulfill its duty of providing adequate and economic medical care to the population. Evaluation of the claim checks is an important means for controlling health care economy.

000 fraction currently exceeds the former while in the thirties only some 20 % of physicians were salaried employees. Also the number of physicians not active in patient care has increased considerably. These colleagues work in industry, administration, scientific institutions and the like (see Fig. 1). The increase of physicians in hospitals is due to an increased demand for hospital care as an effect of the development of morbidity as well as medical means. Another factor affecting the need for physicians is legislation reducing over time work for physicians in hospitals.

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Bounded positive critical points of some multiple integrals of the calculus of variations by Boccardo L., Pellacci B.

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