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Pleuro-pulmonary disease in central South Africa: A thoracic surgical deficiency
We wished to estimate the performance gap between thoracic surgical service provision and the burden of thoracic surgical disease in central South Africa (SA). We compared burden of disease data to the number of thoracic operations performed for inflammatory pleuro-pulmonary disease and primary lung...
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Published in: | South African medical journal 2010-08, Vol.100 (8), p.510-512 |
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container_title | South African medical journal |
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creator | Linegar, A van Zyl, G Smit, F Goldstraw, P |
description | We wished to estimate the performance gap between thoracic surgical service provision and the burden of thoracic surgical disease in central South Africa (SA). We compared burden of disease data to the number of thoracic operations performed for inflammatory pleuro-pulmonary disease and primary lung cancer. The performance gap was estimated to be a factor of 1:20 for lung cancer and 1:10 for thoracic surgery as a whole. The extent of under-provision of thoracic surgical services in central SA demonstrates that urgent major healthcare system reforms are required at all levels to address the significant performance gap between service provision by thoracic surgery and the burden of disease in central SA. |
doi_str_mv | 10.7196/SAMJ.3970 |
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subjects | Care and treatment Chest Cost of Illness Government finance Health care reform Humans Laws, regulations and rules Lung diseases Lung Diseases - epidemiology Lung Neoplasms - epidemiology Middle Aged Pleural Diseases - epidemiology Primary health care South Africa - epidemiology Surgery Thoracic Surgery - statistics & numerical data |
title | Pleuro-pulmonary disease in central South Africa: A thoracic surgical deficiency |
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