SciELO - Scientific Electronic Library Online

 
vol.26 número1Fish bone perforation mimicking colon cancer: A case reportThe need for nationally accepted guidelines for undergraduate nuclear medicine teaching in MBChB programmes in South Africa índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google

Compartilhar


SA Journal of Radiology

versão On-line ISSN 2078-6778
versão impressa ISSN 1027-202X

Resumo

PARAK, Yusuf et al. A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa. S. Afr. J. radiol. (Online) [online]. 2022, vol.26, n.1, pp.1-6. ISSN 2078-6778.  http://dx.doi.org/10.4102/sajr.v26i1.2464.

BACKGROUND: Disparities in MR access between different countries and healthcare systems are well documented. Determinants of unequal access within the same healthcare system and geographical region are poorly understood OBJECTIVE: An analysis of public sector MR utilisation in South Africa's Western Cape province (WCP METHODS: A retrospective study of WCP MR and population data for 2013 and 2018. MR units/106 people, studies, and studies/103 people were calculated for each year, for the whole province and the 'western' and 'eastern' referral pathways, stratified by age (0-14 years, > 14 years RESULTS: Between 2013 and 2018, the WCP population increased 8% (4.63 vs 5.08 × 106 people) while MR resources were unchanged ('western' = 2 units; 'eastern' = 1), equating to decreasing access (units/106 people) for the province (0.65 vs 0.59; -9.2%), the 'western' (0.97 vs 0.9; -7.2%) and 'eastern' (0.39 vs 0.35; -10.3%) pathways. In 2013, 40% (4005/10 090) of studies were in the 'eastern' pathway serving 55% (2 066 079/4 629 051) of the population. Between 2013 and 2018 'eastern' population growth (n = 286 781) exceeded 'western' (n = 168 469) by 70% (n = 118 312). By 2018, 38% (7939/12 848) of studies were performed in the 'eastern' pathway, then serving 56% (2 849 753/5 084 301) of the population. Among 0-14-year-olds, 'western' utilisation (studies/103 people) exceeded 'eastern' by a factor of approximately 2.4 throughout. In patients > 14 years, the utilisation differential increased from 1.78 to 1.98 in the review period CONCLUSION: Ensuring equitable services on the same healthcare platform requires ongoing surveillance of resource and population distribution. MR access can serve as a proxy for equity in highly specialised services

Palavras-chave : radiology; public sector; middle income country; magnetic resonance imaging (MRI); utilisation; equitable access; health equity.

        · texto em Inglês     · Inglês ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons