n African Journal of Psychiatry - Impact of tertiary and quaternary service funding processes on medication selection in the SA essential drugs programme : guest editorial




Health care provision of tertiary and quaternary services in South Africa is still largely driven by historical precedent and a 'catch up' philosophy: in the past, new technologies and medications from developed world countries were lobbied for and adopted as soon as they were considered affordable, or on occasion, where it seemed politically expedient to do so. This has resulted in a piecemeal system of entrenched services in centres of excellence, which drive costs and new advances, but seldom foster equity goals.


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