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- W51973668 abstract "C Peter, A Pope, A TaylorWhereas in the past lack of knowledge and lack ofappropriatetechnology prevented doctors from being able to save andextend life in many fields ofmedical care, today knowledgeabounds and access to appropriate technology is increasinglypossible. The difficulty is that lack of financial resourcesprevents doctors from applying modem medical knowledgeuniversally, to the benefit ofall patients.Even in the USA, where the annual per capita expenditureon health care is in excess ofUS$4 000, it is not possible toprovide every citizen with all that medicine can offer. Theproblem ofscarce resources is indeed pervasive and affects allcountries. As a result, resource allocation considerations, lesspopularly called 'rationing',have become a major topic ofdebate throughout the world.'In this article we wish to review the current situationregarding the treatment of severe head injuries in adults atGroote Schuur Hospital (GSH). We do so not as a plea for moreresources, but rather to highlight the challenges facingacademic institutions in SouthAfrica and to illustrate the needfor open public debate and explicit rationing in relation to thisand other vexing clinical problems in our institution.There is an undisputed need in South Africa to avoidincreasing the national debt, to allocate resources more fairlyacross the country and to improve access to health care at theprimary care level. It is also appropriate that the public knowabout and understand the impact ofsuch reallocation on thehealth care services they can expect to receive within ourtertiary academic institutions.''InSouthAfrica the problem of resource allocation within thepublic sector is particularly acute. The reasons for this include:" @default.
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- W51973668 date "2000-08-01" @default.
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- W51973668 title "Treatment of head injuries in the public sector in South Africa." @default.
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