Provision of long-term renal replacement therapy to non-national patients in South Africa
Dialysis is a life-saving but costly therapy, which in the local context may be considered to be a constrained resource. The residual effects of South Africa (SA)'s historical inequalities and the pathophysiology of chronic kidney disease in our population result in significant demand being placed upon state dialysis units, which consequently are forced to ration access to treatment. Although such rationing is undertaken with due regard to local and international protocols, state units have been subject to legal challenge. Consequently, jurisprudence relevant to the provision of dialysis and other similarly resource-constrained therapies has evolved. In this article, we discuss a recent case that led to a landmark ruling on the access of non-SA nationals to dialysis, contextualised against existing guidelines and legislation and the status of renal replacement therapy in this country.
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South African Medical Association
2021
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oai:scielo:S0256-957420210007000062021-07-29Provision of long-term renal replacement therapy to non-national patients in South AfricaDavies,MCassimjee,ZDialysis is a life-saving but costly therapy, which in the local context may be considered to be a constrained resource. The residual effects of South Africa (SA)'s historical inequalities and the pathophysiology of chronic kidney disease in our population result in significant demand being placed upon state dialysis units, which consequently are forced to ration access to treatment. Although such rationing is undertaken with due regard to local and international protocols, state units have been subject to legal challenge. Consequently, jurisprudence relevant to the provision of dialysis and other similarly resource-constrained therapies has evolved. In this article, we discuss a recent case that led to a landmark ruling on the access of non-SA nationals to dialysis, contextualised against existing guidelines and legislation and the status of renal replacement therapy in this country.South African Medical AssociationSAMJ: South African Medical Journal v.111 n.7 20212021-07-01journal articletext/htmlhttp://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742021000700006en |
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ZA |
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África del Sur |
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English |
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Digital |
| author |
Davies,M Cassimjee,Z |
| spellingShingle |
Davies,M Cassimjee,Z Provision of long-term renal replacement therapy to non-national patients in South Africa |
| author_facet |
Davies,M Cassimjee,Z |
| author_sort |
Davies,M |
| title |
Provision of long-term renal replacement therapy to non-national patients in South Africa |
| title_short |
Provision of long-term renal replacement therapy to non-national patients in South Africa |
| title_full |
Provision of long-term renal replacement therapy to non-national patients in South Africa |
| title_fullStr |
Provision of long-term renal replacement therapy to non-national patients in South Africa |
| title_full_unstemmed |
Provision of long-term renal replacement therapy to non-national patients in South Africa |
| title_sort |
provision of long-term renal replacement therapy to non-national patients in south africa |
| description |
Dialysis is a life-saving but costly therapy, which in the local context may be considered to be a constrained resource. The residual effects of South Africa (SA)'s historical inequalities and the pathophysiology of chronic kidney disease in our population result in significant demand being placed upon state dialysis units, which consequently are forced to ration access to treatment. Although such rationing is undertaken with due regard to local and international protocols, state units have been subject to legal challenge. Consequently, jurisprudence relevant to the provision of dialysis and other similarly resource-constrained therapies has evolved. In this article, we discuss a recent case that led to a landmark ruling on the access of non-SA nationals to dialysis, contextualised against existing guidelines and legislation and the status of renal replacement therapy in this country. |
| publisher |
South African Medical Association |
| publishDate |
2021 |
| url |
http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742021000700006 |
| work_keys_str_mv |
AT daviesm provisionoflongtermrenalreplacementtherapytononnationalpatientsinsouthafrica AT cassimjeez provisionoflongtermrenalreplacementtherapytononnationalpatientsinsouthafrica |
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1756005979954085888 |