Percutaneous coronary intervention still not accessible for many South Africans
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X17300654 |
| _version_ | 1818289998091255808 |
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| author | Willem Stassen Lee Wallis Craig Lambert Maaret Castren Lisa Kurland |
| author_facet | Willem Stassen Lee Wallis Craig Lambert Maaret Castren Lisa Kurland |
| author_sort | Willem Stassen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T02:21:10Z |
| format | Article |
| id | doaj.art-ffe59380ef094754b99b6be0854bc402 |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-13T02:21:10Z |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-ffe59380ef094754b99b6be0854bc4022022-12-22T00:02:47ZengElsevierAfrican Journal of Emergency Medicine2211-419X2017-09-017310510710.1016/j.afjem.2017.04.009Percutaneous coronary intervention still not accessible for many South AfricansWillem Stassen0Lee Wallis1Craig Lambert2Maaret Castren3Lisa Kurland4Division of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaDivision of Emergency Medicine, Stellenbosch University, Cape Town, South AfricaDepartment of Emergency Medical Care, University of Johannesburg, Johannesburg, South AfricaDepartment of Clinical Research and Education, Karolinska Institute, Stockholm, SwedenDepartment of Clinical Research and Education, Karolinska Institute, Stockholm, SwedenIntroduction: 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.http://www.sciencedirect.com/science/article/pii/S2211419X17300654Myocardial infarctionSouth AfricaHealthcare access |
| spellingShingle | Willem Stassen Lee Wallis Craig Lambert Maaret Castren Lisa Kurland Percutaneous coronary intervention still not accessible for many South Africans African Journal of Emergency Medicine Myocardial infarction South Africa Healthcare access |
| title | Percutaneous coronary intervention still not accessible for many South Africans |
| title_full | Percutaneous coronary intervention still not accessible for many South Africans |
| title_fullStr | Percutaneous coronary intervention still not accessible for many South Africans |
| title_full_unstemmed | Percutaneous coronary intervention still not accessible for many South Africans |
| title_short | Percutaneous coronary intervention still not accessible for many South Africans |
| title_sort | percutaneous coronary intervention still not accessible for many south africans |
| topic | Myocardial infarction South Africa Healthcare access |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X17300654 |
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