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Primary healthcare in Johannesburg has to work around unpredictable power cuts, medical aid authorisation delays, and the reality that many patients are travelling from across the city for appointments. Clinics that manage this well understand that a patient can't reschedule surgery or a chronic disease review because Eskom's load shedding knocked out the booking system. Practical logistics matter—adequate backup power, reliable phone lines, streamlined paperwork that doesn't depend on internet connectivity. Medical aid claims processing has to happen offline and be recoverable. Prescription dispensing needs to account for pharmacy stock volatility across the city. Weltevreden Park Clinic operates in a geography where these factors are constant, not occasional complications. Understanding how to keep services running smoothly when external systems fail—not through heroics, but through systems designed for the reality of healthcare delivery in 2024 Johannesburg—shapes what separates functional clinics from ones that close when the grid does.
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