Like its competitors, Mediclinic and Life Healthcare, Netcare has had a tough five years. Its share price declined by more than 65% since 2015, followed by Life Healthcare at just over 50% and Mediclinic at almost 50%. At the heart of their issues were regulations, a tough economy, tariff changes and, most recently, the impact of Covid-19, reported Fin24 (25 November 2020). Today, Netcare, which used to be the biggest of the three, internationally and locally, only has its South African operations, but is still the biggest in South Africa. It has now focused on growing in the country through a digitisation strategy, CareOn, that is aimed at creating paperless administrative systems, online training for doctors and nurses, as well as mobile information access for doctors, so they can check on their patients anywhere they are.

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