n South African Medical Journal - Liver disease in children : from neonatal jaundice to living donor liver transplantation : paediatric hepatobiliary - editorial

Volume 104, Issue 11
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



Paediatric hepatobiliary treatment, including hepatology, paediatric surgery and transplantation, is classified as quaternary and tertiary care. These procedures are often perceived as consuming too much 'buck for their bang', spending a disproportionately large percentage of healthcare budgets on a relatively small cohort of patients. Additionally, and probably as a direct consequence, this specialised care is difficult to access in South Africa (SA), and the small number of existing units fight a constant battle to secure the resources that are required to adequately provide and sustain such services.

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