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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.
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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, Netherlands: 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 and Social Medicine
Identifiers
URN: urn:nbn:se:oru:diva-64450DOI: 10.1016/j.afjem.2017.04.009ISI: 000415841900003Scopus ID: 2-s2.0-85018368532OAI: oai:DiVA.org:oru-64450DiVA, id: diva2:1176814
Available from: 2018-01-23 Created: 2018-01-23 Last updated: 2025-02-21Bibliographically approved

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