oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Percutaneous Coronary Intervention still not accessible for many South Africans
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa; Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden.
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa.
Department of Emergency Medical Care, University of Johannesburg, Johannesburg, South Africa.
Department of Clinical Research and Education, Karolinska Institute, Stockholm, Sweden; Department of Emergency Medicine and Services, Helsinki University Hospital and Helsinki University, Helsinki, Finland.
Show others and affiliations
2017 (English)In: African Journal of Emergency Medicine, ISSN 2211-419X, Vol. 7, no 5, p. 105-107Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Amsterdam, Netheralands: Elsevier, 2017. Vol. 7, no 5, p. 105-107
Keywords [en]
Myocardial infarction, South Africa, Healthcare access
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-64450DOI: 10.1016/j.afjem.2017.04.009Scopus ID: 2-s2.0-85018368532OAI: oai:DiVA.org:oru-64450DiVA, id: diva2:1176814
Available from: 2018-01-23 Created: 2018-01-23 Last updated: 2018-02-06Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

Kurland, Lisa

Search in DiVA

By author/editor
Kurland, Lisa
Medical and Health SciencesPublic Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 49 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf