Benatar S R, Saven A
S Afr Med J. 1985 Jun 15;67(24):968-74.
In 1971, 5 544 patients were admitted to the 261 Department of Medicine beds at Groote Schuur Hospital. During 1982 8 005 patients were admitted although the number of beds remained essentially unchanged. Whites constituted 54,7% of all admissions in 1971 and 39,3% in 1982. The overall mortality rate fell from 14,9% in 1971 to 9,6% in 1982, and the respective autopsy rates from 25,9% to 18,2%. Patterns of morbidity observed in the various population groups differed greatly and changed over the period studied. Comparisons between morbidity patterns in our patients and national mortality patterns showed close parallels within each population group and major differences between the different groups--those those in whites closely resemble patterns in industrialized countries, whereas for the patients of mixed race and black patients they more closely approximate those in developing countries. Attention is drawn to the inadequate growth of medical facilities in relation to population expansion, and to the urgent need for a far-sighted, ambitious, comprehensive, non-discriminatory preventive and curative health service.
1971年，5544名患者住进了格罗特·舒尔医院医学科的261张床位。1982年，尽管床位数基本未变，但有8005名患者入院。白人在1971年的所有入院患者中占54.7%，1982年占39.3%。总体死亡率从1971年的14.9%降至1982年的9.6%，相应的尸检率从25.9%降至18.2%。在不同人群中观察到的发病模式差异很大，且在研究期间有所变化。对我们患者的发病模式与全国死亡率模式进行比较，结果显示在每个群体中两者密切相似，而不同群体之间则存在重大差异——白人患者的模式与工业化国家的模式非常相似，而混血患者和黑人患者的模式则更接近发展中国家的模式。需要注意的是，医疗设施的增长相对于人口扩张而言不足，迫切需要一项有远见、有雄心、全面且无歧视的预防和治疗性医疗服务。
