Medical equipment in Third World countries.
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Biomedical subjects
Publications and source records attributed to D Piachaud.
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Data from the General Household Survey were employed to compare the participation rates, hours worked, earnings, and net incomes of families with and without a disabled child. In families with a disabled child it was found that the spouse was significantly more likely to work the more children there were in the family and that income, and income as a proportion of supplementary benefit entitlement, was lower.
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This paper describes a study of the extent to which a set of eight modern medical techniques had been introduced in less developed countries in 1977. The results are presented for each country and related to the characteristics of the country. Many very poor countries were found to have introduced many very recent techniques. The reasons for this are discussed, and appropriate questions to be asked about any new technique are suggested.
A randomised controlled trial was carried out to compare the clinical outcome 5 years after inpatient surgery and outpatient injection/compression sclerotherapy. 91.3% of those originally treated by injection/compression sclerotherapy and 93.9% of those originally treated surgically were seen at follow-up. 40% of patients treated initially by injection/compression sclerotherapy and 24.2% of those treated surgically were given further treatment. The probability of having no further treatment is significantly greater for those treated surgically. The improved outcome after surgery increased with age, being most striking in those aged over 45. The implications of the 5-year follow-up findings for the long-term cost of treatment are discussed.
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