Financial medicine: A multi-dimensional concept moving towards
contextually specific working definitions for use in the South African
prehospital setting
Dublin Core
Title
Financial medicine: A multi-dimensional concept moving towards
contextually specific working definitions for use in the South African
prehospital setting
contextually specific working definitions for use in the South African
prehospital setting
Subject
Prehospital
Financial medicine
Ethics
Financial medicine
Ethics
Description
Introduction: The phenomenon that has been described as Financial Medicine has been occurring within the South
African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no
organised body of knowledge or formulated working definitions to guide knowledge sharing and theorisation
within this research focus area. The practice of Financial Medicine exerts a deleterious effect on the South African
prehospital healthcare system, and represents an area in dire need of focused research efforts. Establishing
appropriate working definitions and associated taxonomy is an important first step in supporting further research
efforts into this aspect of South African prehospital healthcare systems.
Methods: A qualitative research methodology following a constructivist grounded theory design was used. Participants voluntarily consented to be enrolled into one-on-one in-depth interviews, and were selected using
purposive and theoretical sampling techniques. Data was subjected to validated coding procedures and analysed
using the constant comparative analysis approach, analytical diagramming, and supported by researcher theoretical sensitivity.
Results: A working definition for Financial Medicine is provided. Six new terms are introduced, with associated
working definitions, namely Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion,
Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning.
Conclusion: The working definitions and suggested taxonomy presented in this article are the first step in formally
conceptualising and theorising the phenomenon of Financial Medicine, in order to support further research and
collaboration in this space.
African Healthcare sector for at least the last decade. Despite the ongoing effect of this phenomenon, there is no
organised body of knowledge or formulated working definitions to guide knowledge sharing and theorisation
within this research focus area. The practice of Financial Medicine exerts a deleterious effect on the South African
prehospital healthcare system, and represents an area in dire need of focused research efforts. Establishing
appropriate working definitions and associated taxonomy is an important first step in supporting further research
efforts into this aspect of South African prehospital healthcare systems.
Methods: A qualitative research methodology following a constructivist grounded theory design was used. Participants voluntarily consented to be enrolled into one-on-one in-depth interviews, and were selected using
purposive and theoretical sampling techniques. Data was subjected to validated coding procedures and analysed
using the constant comparative analysis approach, analytical diagramming, and supported by researcher theoretical sensitivity.
Results: A working definition for Financial Medicine is provided. Six new terms are introduced, with associated
working definitions, namely Financial Medicine Practices, Treatment-based profiteering, Cost-of-care-aversion,
Personal-gain-at-patient-expense, Money-racketeering-in-healthcare, and Impoverishing-healthcare-earning.
Conclusion: The working definitions and suggested taxonomy presented in this article are the first step in formally
conceptualising and theorising the phenomenon of Financial Medicine, in order to support further research and
collaboration in this space.
Creator
Colin Giovanni Mosca a,*
, Jaco P. Kruger b
, Jaco P. Kruger b
Source
https://pdf.sciencedirectassets.com/280685/1-s2.0-S2211419X24X00026/1-s2.0-S2211419X24000089/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjELj%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLWVhc3QtMSJHMEUCIQDqZ%2Bp9RgVKkG8NvmhMAsJ%2BCq%2FKNp7V06UiLLweSVv3jAIgcrbWPfqTRWBK8tgB7eslrIhBAWH8s6u%2FlQ6Vc9CnC%2BMqvAUIof%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FARAFGgwwNTkwMDM1NDY4NjUiDOF3zf6jAkMss5f3NCqQBbKUj90y4iLWunGrl9RAKHlydP6tSpZEnUkdBuUNJimJZykZI2N8MfFX3oK%2FUsBDNxdvSxt%2Bx1rGxnR38i9ZebpnxpKGHqO4NPnlLBmASJm55PcLs9L33CYNj5Jev5VjTZiypyp2DJ7Glsx7tH7WULUDmEoawYrIX7Hxode6F3Cy0UnUq3nrqcxt%2FTRfPucvUzJYSJTzjmgK%2BHANWWegp%2FQQBHe7Vn5LaoaXnchDSb%2FdBpC0IEYT43JQXjCE9FmMvIosZdGWQEoSrnpDmFhufo0KC07nOj5IHb5kSmOheL5t7SEwJoeS5ZcOUAcxKoJ6h64BETuevRHFrSGQAe9xNf8kVQ1uICt7UEUwUTSfDCb3%2BGbaVPE5OeJl5KweJrAXvn9peE2TdbrM6F6ETk22fkMkj5r6lD8yFa4lT6Z5PEDdTDapaikvb5An7MXY0MTJhvqF2f76vC6EqCvlgRWii%2BlxfotuMcvvWBjA5dXXHaNNigHVLGHlNIXqMwukzma%2BVxr2WoXkrQ4XZBD7CiID3%2BP5W1p5G6jNySsqzvNzE5tSmRcQzzLQTh8c4YgkrkHPtksMwPfaGyA7ay2IfHBPbcumHhGGpexqqJ8bVGgVGcoXY2bEg5hycg9cFFG02D6KVlS823RvcP0bP%2Fqzqud%2Fh3lEHHm3XsWKNbS3zVv4DNK3%2BaPzdgQw3bzBzVL%2Fp%2FAT2OFm%2BEeibsKHgOP3hvu8pG2Yi21JKGoucQHN27HBjCA4dVjgiwjdxrGeFQbMfb8loC32cp2IPgtvYzrwycWgb3CbzQt5vDZpZDBVKhYeOUNzmcjbsqjU0hy%2Fohf8%2BwpjZhfcredh6V%2BzWkt7C40lI%2BkBl5gIKl9ZrDjmLhDjrqoTMIT%2BzsIGOrEBsbmlgvk9og9sjb2NlrFaDEje%2BaHCABjIRxKyq2dCbK6QVv0ZjSe1YF1e2lHTVnzwX1woRfgTs8sG3ZpzeABWPLDuvvFpxt3BnaX8DThw%2Fr%2FyImEJVAqMNywFEIIjJyBaLC52Y%2FHUCdvgH8acOnDGzcrHX2exANCd%2BDeAf2%2FgtfqA1zAeA8VVGrn0lBdt7tZ0pOy%2FfHxfhIFiWXMVxqw%2FHpX1%2FGbXPuMIpWrwT0YPzU05&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20250619T080148Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYU3NUKN2Q%2F20250619%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=918686616cb64a31f33d4c9d6eed7060b2f096e3d9de4437e9e55f9f327b5161&hash=d0dc0075ecc5b3c1faa586c252bb10baa68f284e458bb86a492cabe43706a854&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S2211419X24000089&tid=spdf-09d41bbe-949c-46ad-8b37-0d72bfd2931f&sid=00688b7b811b2744bd985b7238466a2c58a0gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&rh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=13025d5356515f54505252&rr=952180221b4b4b1b&cc=id
Publisher
a Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa b St Augustine College of South Africa, Johannesburg, South Africa
Date
24 march 2024
Contributor
Fajar bgaus W
Format
PDF
Language
English
Type
Text
Files
Citation
Colin Giovanni Mosca a,*
, Jaco P. Kruger b , “Financial medicine: A multi-dimensional concept moving towards
contextually specific working definitions for use in the South African
prehospital setting,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9563.
contextually specific working definitions for use in the South African
prehospital setting,” Repository Horizon University Indonesia, accessed June 20, 2025, https://repository.horizon.ac.id/items/show/9563.