Percutaneous Coronary Intervention still not accessible for many South Africans

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Stassen, W.Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa; Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden (författare)

Percutaneous Coronary Intervention still not accessible for many South Africans

Artikel/kapitelEngelska2017

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Amsterdam, Netherlands :Elsevier,2017
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LIBRIS-ID:oai:DiVA.org:oru-64450
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-64450URI
https://doi.org/10.1016/j.afjem.2017.04.009DOI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ref swepub-contenttype
Ämneskategori:art swepub-publicationtype

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Introduction: The incidence of myocardial infarction is rising in Sub-Saharan Africa. In order to reduce mortality, timely reperfusion by percutaneous coronary intervention (PCI) or thrombolysis followed by PCI is required. South Africa has historically been characterised by inequities in healthcare access based on geographic and socioeconomic status. We aimed to determine the coverage of PCI-facilities in South Africa and relate this to access based on population and socio-economic status.Methods: This cross-sectional study obtained data from literature, directories, organisational databases and correspondence with Departments of Health and hospital groups. Data was analysed descriptively while Spearman’s Rho sought correlations between PCI-facility resources, population, poverty and medical insurance status.Results: South Africa has 62 PCI-facilities. Gauteng has the most PCI-facilities (n = 28) while the Northern Cape has none. Most PCI-facilities (n = 48; 77%) are owned by the private sector. A disparity exists between the number of private and state-owned PCI-facilities when compared to the poverty (r = 0.01; p = 0.17) and insurance status of individuals (r = 0.4; p = 0.27).Conclusion: For many South Africans, access to PCI-facilities and primary PCI is still impossible given their socio-economic status or geographical locale. Research is needed to determine the specific PCI-facility needs based on geographic and epidemiological aspects, and to develop a contextualised solution for South Africans suffering a myocardial infarction.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
Myocardial infarction
South Africa
Healthcare access

Biuppslag (personer, institutioner, konferenser, titlar ...)

Wallis, L. A.Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa (författare)
Vincent-Lambert, C.Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa (författare)
Castren, M.Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden; Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Helsinki, Finland (författare)
Kurland, Lisa,1960-Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden(Swepub:oru)lkd (författare)
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa; Department of Clinical Research and Education, Karolinska Institute, Stockholm, SwedenDivision of Emergency Medicine, Stellenbosch University, Cape Town, South Africa (creator_code:org_t)

Sammanhörande titlar

Ingår i:African Journal of Emergency MedicineAmsterdam, Netherlands : Elsevier7:5, s. 105-1072211-419X

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African Journal of Emergency Medicine (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Stassen, W.; Wallis, L. A.; Vincent-Lambert, ...; Castren, M.; Kurland, Lisa, 1 ...

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Av lärosätet: Örebro universitet

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