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A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa

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 Wester...

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Autores principales: Parak, Yusuf, Davis, Razaan, Barnard, Michelle, Fernandez, Amanda, Cloete, Keith, Mukosi, Matodzi, Pitcher, Richard D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350559/
https://www.ncbi.nlm.nih.gov/pubmed/35936227
http://dx.doi.org/10.4102/sajr.v26i1.2464
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author Parak, Yusuf
Davis, Razaan
Barnard, Michelle
Fernandez, Amanda
Cloete, Keith
Mukosi, Matodzi
Pitcher, Richard D.
author_facet Parak, Yusuf
Davis, Razaan
Barnard, Michelle
Fernandez, Amanda
Cloete, Keith
Mukosi, Matodzi
Pitcher, Richard D.
author_sort Parak, Yusuf
collection PubMed
description 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/10(6) people, studies, and studies/10(3) 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 × 10(6) people) while MR resources were unchanged (‘western’ = 2 units; ‘eastern’ = 1), equating to decreasing access (units/10(6) 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.
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spelling pubmed-93505592022-08-05 A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa Parak, Yusuf Davis, Razaan Barnard, Michelle Fernandez, Amanda Cloete, Keith Mukosi, Matodzi Pitcher, Richard D. SA J Radiol Original Research 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/10(6) people, studies, and studies/10(3) 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 × 10(6) people) while MR resources were unchanged (‘western’ = 2 units; ‘eastern’ = 1), equating to decreasing access (units/10(6) 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. AOSIS 2022-07-22 /pmc/articles/PMC9350559/ /pubmed/35936227 http://dx.doi.org/10.4102/sajr.v26i1.2464 Text en © 2022. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Parak, Yusuf
Davis, Razaan
Barnard, Michelle
Fernandez, Amanda
Cloete, Keith
Mukosi, Matodzi
Pitcher, Richard D.
A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title_full A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title_fullStr A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title_full_unstemmed A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title_short A 6-year audit of public-sector MR utilisation in the Western Cape province of South Africa
title_sort 6-year audit of public-sector mr utilisation in the western cape province of south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9350559/
https://www.ncbi.nlm.nih.gov/pubmed/35936227
http://dx.doi.org/10.4102/sajr.v26i1.2464
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