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Appropriateness of patient attendance at specialist clinics in public hospitals in eThekwini municipality.

An important inefficiency in the public hospital sector is the treatment of patients at levels of care inappropriate to their health problem – specifically, the treatment of patients at hospital level when they could be managed effectively at a lower level of care. 3 The costs of treating a patient increase as the level of care increases from primary care (clinic) level to district, regional and tertiary hospital level. 4 As much as onethird of total hospital costs could be saved by treating primary care patients at a clinic rather than at hospital level. 3 Although a number of studies have investigated the inappropriateness of inpatient stays in hospitals, 4-8 few have looked at inappropriate