Optimal paediatric cardiac services in South Africa – what do we need?

Most children with congenital heart disease have a good outcome if treated appropriately, however the majority of children with heart disease in South Africa do not receive appropriate care. This is related to serious deficiencies in the mechanisms and training for early detection as well as a major...

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Autores principales:	A.M. Cilliers, C.T. Hugo-Hamman, S.C. Brown, J.R. Harrisberg, F.F. Takawira, K. Govendrageloo, J. Lawrenson, J. Hewitson
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2017
Materias:	paediatric cardiac services south africa paediatric cardiac society Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/cf782a9447c3423690d660854536c6fe
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spelling	oai:doaj.org-article:cf782a9447c3423690d660854536c6fe2021-11-22T09:48:34ZOptimal paediatric cardiac services in South Africa – what do we need?10.24170/7-1-19631996-67412071-4602https://doaj.org/article/cf782a9447c3423690d660854536c6fe2017-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1963https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602Most children with congenital heart disease have a good outcome if treated appropriately, however the majority of children with heart disease in South Africa do not receive appropriate care. This is related to serious deficiencies in the mechanisms and training for early detection as well as a major shortage of skilled personnel to care for these children at all levels. Most public sector hospitals are unable to cope with the number of patients requiring surgery, mainly due to inadequate theatre time allocation and intensive care facilities. Key interventions to address these deficiencies include: 1. Strategies to improve both the training and the retention of all professionals involved in the care of congenital heart disease. 2. Programmes to increase awareness of both congenital and acquired heart disease in children among health care personnel. 3. Ensuring appropriate infrastructure and equipment designed for children with congenital heart disease are available. 4. Development of congenital heart surgery as an independent subspecialty with dedicated resources and personnel. 5. Dedicated intensive care facilities for paediatric heart surgery. In addition, development of appropriate patterns of referral, stimulation of research and positive private-public partnerships are all necessary to ensure that appropriate care is delivered.A.M. CilliersC.T. Hugo-HammanS.C. BrownJ.R. HarrisbergF.F. TakawiraK. GovendragelooJ. LawrensonJ. HewitsonSouth African Heart Associationarticlepaediatric cardiac servicessouth africapaediatric cardiac societyDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 7, Iss 1, Pp 10-16 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	paediatric cardiac services south africa paediatric cardiac society Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	paediatric cardiac services south africa paediatric cardiac society Diseases of the circulatory (Cardiovascular) system RC666-701 A.M. Cilliers C.T. Hugo-Hamman S.C. Brown J.R. Harrisberg F.F. Takawira K. Govendrageloo J. Lawrenson J. Hewitson Optimal paediatric cardiac services in South Africa – what do we need?
description	Most children with congenital heart disease have a good outcome if treated appropriately, however the majority of children with heart disease in South Africa do not receive appropriate care. This is related to serious deficiencies in the mechanisms and training for early detection as well as a major shortage of skilled personnel to care for these children at all levels. Most public sector hospitals are unable to cope with the number of patients requiring surgery, mainly due to inadequate theatre time allocation and intensive care facilities. Key interventions to address these deficiencies include: 1. Strategies to improve both the training and the retention of all professionals involved in the care of congenital heart disease. 2. Programmes to increase awareness of both congenital and acquired heart disease in children among health care personnel. 3. Ensuring appropriate infrastructure and equipment designed for children with congenital heart disease are available. 4. Development of congenital heart surgery as an independent subspecialty with dedicated resources and personnel. 5. Dedicated intensive care facilities for paediatric heart surgery. In addition, development of appropriate patterns of referral, stimulation of research and positive private-public partnerships are all necessary to ensure that appropriate care is delivered.
format	article
author	A.M. Cilliers C.T. Hugo-Hamman S.C. Brown J.R. Harrisberg F.F. Takawira K. Govendrageloo J. Lawrenson J. Hewitson
author_facet	A.M. Cilliers C.T. Hugo-Hamman S.C. Brown J.R. Harrisberg F.F. Takawira K. Govendrageloo J. Lawrenson J. Hewitson
author_sort	A.M. Cilliers
title	Optimal paediatric cardiac services in South Africa – what do we need?
title_short	Optimal paediatric cardiac services in South Africa – what do we need?
title_full	Optimal paediatric cardiac services in South Africa – what do we need?
title_fullStr	Optimal paediatric cardiac services in South Africa – what do we need?
title_full_unstemmed	Optimal paediatric cardiac services in South Africa – what do we need?
title_sort	optimal paediatric cardiac services in south africa – what do we need?
publisher	South African Heart Association
publishDate	2017
url	https://doaj.org/article/cf782a9447c3423690d660854536c6fe
work_keys_str_mv	AT amcilliers optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT cthugohamman optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT scbrown optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT jrharrisberg optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT fftakawira optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT kgovendrageloo optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT jlawrenson optimalpaediatriccardiacservicesinsouthafricawhatdoweneed AT jhewitson optimalpaediatriccardiacservicesinsouthafricawhatdoweneed
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Optimal paediatric cardiac services in South Africa – what do we need?

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