Background Although the prevalence of attention deficit hyperactivity disorder (ADHD) has remained stable, the number of patients diagnosed with ADHD has increased in recent years owing to increased awareness. Despite this increase, medical schemes in South Africa have not improved their funding models for this condition. Aim The study aimed to provide an account of the funding that medical schemes provisioned for treating ADHD in South Africa during 2022. Setting All the South African medical schemes that were registered with the Council of Medical Schemes during 2022 (n = 72) and all their listed options were evaluated (n = 279). Methods The study analysed secondary data published on the medical schemes' websites in the public domain. Statistical minimum, average, maximum and correlation analyses were performed using Excel version 16.58. Results Attention deficit hyperactivity disorder is not regarded as a prescribed minimum benefit (PMB) condition and therefore each medical scheme used its own approach to providing its beneficiaries with some or no benefits for ADHD. It was evident that ADHD was underfunded and lacked structured or standardised funding approaches. Conclusion Attention deficit hyperactivity disorder is underfunded in the private healthcare sector in South Africa. Better funding models are needed or ADHD needs to be registered as a PMB condition. Contribution Findings from this study highlight the urgency for structured and sufficient ADHD-specific funding by medical schemes. Considerations based on these findings may be applied in the National Health Insurance and in other countries around the world.

中文翻译：

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注意力缺陷多动障碍：南非私人医疗保健部门资金不足的见解。

背景 尽管注意力缺陷多动障碍 (ADHD) 的患病率保持稳定，但近年来，由于认识的提高，诊断为 ADHD 的患者数量有所增加。尽管有所增加，南非的医疗计划并未改善针对这种疾病的资助模式。目的 本研究旨在提供 2022 年南非医疗计划为治疗 ADHD 提供的资金情况。 设定 2022 年在医疗计划委员会注册的所有南非医疗计划 (n = 72) 及其所有对列出的选项进行了评估（n = 279）。方法 该研究分析了公共领域医疗计划网站上发布的二手数据。使用 Excel 版本 16.58 进行统计最小值、平均值、最大值和相关性分析。结果 注意缺陷多动障碍不被视为规定的最低福利 (PMB) 病症，因此每个医疗计划都使用自己的方法为其受益人提供一些或不提供 ADHD 福利。很明显，多动症资金不足，缺乏结构化或标准化的资助方法。结论 南非私营医疗保健部门针对注意力缺陷多动障碍的资金不足。需要更好的资助模式，或者需要将 ADHD 注册为 PMB 病症。贡献 这项研究的结果凸显了医疗计划为多动症提供结构化和充足资金的紧迫性。基于这些发现的考虑可能适用于国民健康保险和世界其他国家。