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Advantages And Disadvantages Of Secondary Level Hospital

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South Africa has three levels of hospitals: primary, secondary, and tertiary (Young, 2016:3). Primary level hospitals include internal medicine, obstetrics and gynaecology, paediatrics, general surgery, and general practice (Young, 2016:3). They offer limited laboratory services and do not require referrals (Young, 2016:3). Secondary level hospitals are highly differentiated by function and usually have five to ten clinical specialties within them (Young, 2016:4). Secondary care simply means a patient is referred to a professional who has more specific expertise in whatever problem the patient is having (Young, 2016:4). A rehabilitation centre is an example of a secondary level hospital (Young, 2016:4). Specialties within the rehabilitation centre include physiotherapy, occupational therapy, orthotics and prosthetics, speech therapy, dietetics, and podiatry (Young, 2016:4). Secondary level hospitals typically have 200 to 800 beds (Young, 2016:4).

10.1 National and Provincial government
In South Africa, most revenue is raised by the national government through taxes – including company tax, personal income tax and value-added tax (VAT) (Mahabir, 2014:493). This national revenue is then distributed to provinces and local governments to assist them in delivering the services for which they have responsibility (Mahabir, 2014:493). In contrast, the provinces collect a small amount in taxes and various fees, mainly from motor vehicle licences and gambling levies from horse

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