Department of Surgery, University of the Witwatersrand, Greenside, South Africa.
Eur J Vasc Endovasc Surg. 2010 Mar;39 Suppl 1:S22-4. doi: 10.1016/j.ejvs.2009.11.030. Epub 2010 Jan 13.
Medium income country such as South Africa face a dilemma on the need to offer high quality vascular surgical care in a resource constrained environment, where the vast majority of population has inadequate access to even the most basic health care provision. At the same time with rapid development in technology there is also the need to provide high technological treatment to a small population that can afford high cost therapy. This apparent dichotomy in health care provides a challenge and the solution is for all role players in the health care provision to find a solution which will suite the population at large.
中等收入国家，如南非，在资源有限的环境下，面临着提供高质量血管外科护理的困境，而绝大多数人甚至无法获得最基本的医疗服务。与此同时，随着技术的快速发展，也需要为一小部分能够负担得起高成本治疗的人群提供高科技治疗。这种医疗保健方面明显的二分法提出了一个挑战，解决方案是医疗服务的所有参与者都要找到一个适合广大人群的解决方案。
