التفاصيل البيبلوغرافية
| العنوان: |
A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa |
| المؤلفون: |
Parak, Yusuf, Davis, Razaan, Barnard, Michelle, Fernandez, Amanda, Cloete, Keith, Mukosi, Matodzi, Pitcher, Richard D. |
| المصدر: |
SA Journal of Radiology; Vol. 26 No. 1 (2022) ; 2078-6778 ; 1027-202X |
| بيانات النشر: |
SA Journal of Radiology |
| سنة النشر: |
2023 |
| المجموعة: |
AJOL - African Journals Online |
| مصطلحات موضوعية: |
radiology, public sector, middle income country, magnetic resonance imaging (MRI), utilisation, equitable access, health equity |
| الوصف: |
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. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
English |
| العلاقة: |
https://www.ajol.info/index.php/sajr/article/view/241434/228246Test; https://www.ajol.info/index.php/sajr/article/view/241434Test |
| الإتاحة: |
https://www.ajol.info/index.php/sajr/article/view/241434Test |
| رقم الانضمام: |
edsbas.D91BBCA7 |
| قاعدة البيانات: |
BASE |
