Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa; Health Economics Unit, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, South Africa; NMG Consultants and Actuaries, Cape Town, South Africa.
S Afr Med J. 2020 Nov 24;111(1):20-22. doi: 10.7196/SAMJ.2020.v111i11.15239.
Healthcare demands are rising globally, and regardless of the approach to financing and delivering healthcare services, no country can meet all the healthcare demands of its population. The demand-supply gap for healthcare services in South Africa (SA) is large, particularly for the public sector. The objectives of this article are to examine some of the underlying factors contributing to this gap, and how the COVID- 19 pandemic is likely to impact on them, and to describe why SA needs to adopt an explicit and equity-informed approach to healthcare priority-setting to assist in managing the gap.
全球对医疗保健的需求不断上升，无论采取何种方式为医疗保健服务提供资金和提供服务，没有任何一个国家能够满足其所有人口的医疗保健需求。南非（SA）的医疗服务供求差距很大，特别是在公共部门。本文的目的是探讨造成这一差距的一些潜在因素，以及 COVID-19 大流行可能对这些因素产生的影响，并说明为什么南非需要采取明确和公平的医疗保健重点制定方法，以协助管理这一差距。
