Harrichandparsad R, Nadvi S S, Naidoo A, Mahomed O
Senior consultant in the Department of Neurosurgery based at Inkosi Albert Luthuli Central Hospital, Durban, South Africa and lecturer at the Nelson R. Mandela School of Medicine, University of KwaZulu-Natal.
Consultant neurosurgeon in private practice at St. Augustine's Hospital, Durban and is a lecturer at the Department of Neurosurgery, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal.
S Afr J Surg. 2019 Jun;57(2):61.
Access to neurosurgical care in South Africa is influenced by prevailing inequities in healthcare. It is generally perceived that the public sector performs mainly emergencies relating to trauma, and the private sector performs mainly elective spinal surgery. In March 2015, emergencies constituted 51% of cases in the public sector compared to 8% in the private sector. Trauma, paediatric hydrocephalus and intracranial sepsis constituted nearly 75% of the operative workload in the public sector. Cranial surgery accounted for the majority (95%) of operations in the public sector, whereas the majority in the private sector was spinal (75%). There is considerable disparity in the type of neurosurgery being performed in the public and private sectors in KwaZulu-Natal and with the current financial constraints, there is a potential unmet need for elective spinal surgery in the public sector.
南非神经外科护理的可及性受到医疗保健领域普遍存在的不平等现象的影响。人们普遍认为，公共部门主要处理与创伤相关的急诊病例，而私营部门主要进行择期脊柱手术。2015年3月，公共部门的急诊病例占比为51%，而私营部门为8%。创伤、小儿脑积水和颅内脓毒症占公共部门手术工作量的近75%。颅脑手术在公共部门的手术中占大多数（95%），而私营部门的大多数手术是脊柱手术（75%）。夸祖鲁-纳塔尔省公共部门和私营部门所开展的神经外科手术类型存在相当大的差异，并且在当前的资金限制下，公共部门对择期脊柱手术可能存在未满足的需求。
