Tiered healthcare in South Africa exposes deficiencies in management and more patients with infectious etiology of primary adrenal insufficiency

Thabiso Rafaki Petrus Mofokeng, Kwazi Celani Zwakele Ndlovu, Salem A Beshyah and Ian L Ross

PLOS ONE, 2020, vol. 15, issue 11, 1-13

Abstract: Objective: We wished to determine the prevalence, etiology, presentation, and available management strategies for primary adrenal insufficiency (PAI) in South Africa (SA), hypothesizing a prevalence greater than the described 3.1 per million. There is great inequity in healthcare allocation, as two parallel healthcare systems exist, potentially modifying PAI patients’ clinical profiles, private being better resourced than public healthcare. Methods: An online survey of physicians’ experience relating to PAI. Results: The physicians were managing 811 patients, equal to a prevalence of 14.2 per million. Likely causes of PAI in public/ academic vs private settings included: AIDS-related [304 (44.8%) vs 5 (3.8%); p

Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0241845

DOI: 10.1371/journal.pone.0241845

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