Mathivha L Rudo
Chris Hani Baragwanath Hospital & University of the Witwatersrand, Soweto, Johannesburg, South Africa.
Crit Care. 2002 Feb;6(1):22-3. doi: 10.1186/cc1449. Epub 2002 Jan 11.
South Africa has undergone rapid changes in the political and social arenas since 1994. With new policy-makers in the Department of Health, the distribution of health care resources are being rationalised and redirected to benefit the majority of the previously disadvantaged population of the country. The role and rationalisation of intensive care medicine has to be re-evaluated to ascertain that it is at a level appropriate for a developing country. Despite progress made, the subspecialty of intensive care medicine faces challenges from changing disease patterns and from lack of human and financial resources as these are redirected to primary health care and other priorities facing the country.
自1994年以来，南非在政治和社会领域经历了迅速的变革。随着卫生部新的政策制定者上任，医疗保健资源的分配正在得到合理调整，并重新定向，以使该国大多数先前处于不利地位的人口受益。重症监护医学的作用和合理化必须重新评估，以确定其处于适合发展中国家的水平。尽管取得了进展，但重症监护医学这一亚专业仍面临着疾病模式变化以及人力和财政资源短缺的挑战，因为这些资源被重新导向初级卫生保健和该国面临的其他优先事项。
