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The Global Otolaryngology-Head and Neck Surgery Workforce.
Petrucci, Beatriz; Okerosi, Samuel; Patterson, Rolvix H; Hobday, Sara B; Salano, Valerie; Waterworth, Christopher J; Brody, Robert M; Sprow, Holly; Alkire, Blake C; Fagan, Johannes J; Tamir, Sharon Ovnat; Der, Carolina; Bhutta, Mahmood F; Maina, Ivy W; Pang, Jonathan C; Daudu, Davina; Mukuzi, Allan G; Srinivasan, Tarika; Pietrobon, Carolina A; Hao, Sheng-Po; Nakku, Doreen; Seguya, Amina; Din, Taseer F; Mbougo, Olga Djoutsop; Mokoh, Lilian W; Jashek-Ahmed, Farizeh; Law, Tyler J; Holt, Elizabeth A; Bangesh, Ali Haider; Zemene, Yilkal; Ibekwe, Titus S; Diallo, Oumar Raphiou; Alvarado, Jaqueline; Mulwafu, Wakisa K; Fenton, John E; Agius, Adrian M; Dolezal, Pavel; Mudekereza, Édouard Amani; Mojica, Karen M; Rueda, Ricardo Silva; Xu, Mary Jue.
Afiliação
  • Petrucci B; Unified Health System, Ministry of Health, Brazil.
  • Okerosi S; Ear Nose and Throat Department, Kenyatta National Hospital, Nairobi, Kenya.
  • Patterson RH; Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina.
  • Hobday SB; Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
  • Salano V; Ear Nose and Throat Department, Nyahururu County Hospital, Nyahururu, Kenya.
  • Waterworth CJ; Nossal Institute for Global Health, Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Victoria, Australia.
  • Brody RM; Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania, Philadelphia.
  • Sprow H; Tufts University School of Medicine, Boston, Massachusetts.
  • Alkire BC; Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston.
  • Fagan JJ; Division of Otolaryngology, University of Cape Town, Cape Town, South Africa.
  • Tamir SO; Department of Otolaryngology/Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ben Gurion University of the Negev, Israel.
  • Der C; Universidad del Desarrollo, Facultad de Medicina, Clínica Alemana de Santiago, Hospital Dr Luis Calvo Mackenna, Chile.
  • Bhutta MF; Brighton & Sussex Medical School, Brighton, United Kingdom.
  • Maina IW; Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania, Philadelphia.
  • Pang JC; Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine.
  • Daudu D; Faculty of Surgery, University of Western Australia, Perth, Western Australia, Australia.
  • Mukuzi AG; Department of Otorhinolaryngology Head and Neck Surgery, University of Nairobi, Kenya.
  • Srinivasan T; Medical student, Harvard Medical School, Boston, Massachusetts.
  • Pietrobon CA; Universidade do Vale do Taquari, Brazil.
  • Hao SP; Department of Otolaryngology Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Fu-Jen University, Taiwan.
  • Nakku D; Department of Otolaryngology Head and Neck Surgery, Mbarara University of Science and Technology, Uganda.
  • Seguya A; Department of Otolaryngology Head and Neck Surgery, Mulago National Referral Hospital, Uganda.
  • Din TF; Division of Pediatric Otolaryngology, Head-Neck Surgery, Department of Otolaryngology, Head-Neck Surgery, Stanford University, Stanford, California.
  • Mbougo OD; Bel Campus University of Technology, Kinshasa, Democratic Republic of Congo.
  • Mokoh LW; Kenyatta University Teaching Research and Referral Hospital, Nairobi, Kenya.
  • Jashek-Ahmed F; The International Center for Recurrent Head and Neck Cancer, the Royal Marsden Hospital, London, United Kingdom.
  • Law TJ; Department of Anesthesia & Perioperative Care, University of California, San Francisco.
  • Holt EA; The Eisdell Moore Centre for Hearing and Balance Research, The University of Auckland, Auckland, New Zealand.
  • Bangesh AH; STMU Shifa College of Medicine, Islamabad, Pakistan.
  • Zemene Y; St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
  • Ibekwe TS; University of Abuja and University of Abuja Teaching Hospital, Abuja, Nigeria.
  • Diallo OR; University of Conakry Médical Faculty, Conakry, Guinea.
  • Alvarado J; Pan-American Otolaryngology Association, Miami, Florida.
  • Mulwafu WK; Department of Surgery, Kamuzu University of Health Sciences, Blantyre, Malawi.
  • Fenton JE; Department of Otorhinlaryngology-Head and Neck Surgery, University of Limerick, Limerick, Ireland.
  • Agius AM; Department of Otorhinolaryngology, University of Malta, Malta.
  • Dolezal P; Department of Otorhinolaryngology and Head and Neck Surgery, Slovak Medical University, Bratislava, Slovakia.
  • Mudekereza ÉA; Hôpital Provincial Général de Référence de Bukavu, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo.
  • Mojica KM; Department of otolaryngology, Vivian Pellas Hospital, Managua, Nicaragua.
  • Rueda RS; Servicio de Otorrinolaringología, Bogota, Hospital Militar Central, Bogata, Colombia.
  • Xu MJ; Department of Anesthesia & Perioperative Care, University of California, San Francisco.
JAMA Otolaryngol Head Neck Surg ; 149(10): 904-911, 2023 10 01.
Article em En | MEDLINE | ID: mdl-37651133
ABSTRACT
Importance A core component of delivering care of head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment of National Capacity to Provide Hearing Care, captured primary workforce estimates from 68 member states in 2012, noting that response rates were a limitation and that updated more comprehensive data are needed.

Objective:

To establish comprehensive workforce metrics for global otolaryngology-head and neck surgery (OHNS) with updated data from more countries/territories. Design, Setting, and

Participants:

A cross-sectional electronic survey characterizing the OHNS workforce was disseminated from February 10 to June 22, 2022, to professional society leaders, medical licensing boards, public health officials, and practicing OHNS clinicians. Main

Outcome:

The OHNS workforce per capita, stratified by income and region.

Results:

Responses were collected from 121 of 195 countries/territories (62%). Survey responses specifically reported on OHNS workforce from 114 countries/territories representing 84% of the world's population. The global OHNS clinician density was 2.19 (range, 0-61.7) OHNS clinicians per 100 000 population. The OHNS clinician density varied by World Bank income group with higher-income countries associated with a higher density of clinicians. Regionally, Europe had the highest clinician density (5.70 clinicians per 100 000 population) whereas Africa (0.18 clinicians per 100 000 population) and Southeast Asia (1.12 clinicians per 100 000 population) had the lowest. The OHNS clinicians deliver most of the surgical management of ear diseases and hearing care, rhinologic and sinus diseases, laryngeal disorders, and upper aerodigestive mucosal cancer globally. Conclusion and Relevance This cross-sectional survey study provides a comprehensive assessment of the global OHNS workforce. These results can guide focused investment in training and policy development to address disparities in the availability of OHNS clinicians.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Otolaringologia Tipo de estudo: Qualitative_research / Risk_factors_studies Limite: Humans Idioma: En Revista: JAMA Otolaryngol Head Neck Surg Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Otolaringologia Tipo de estudo: Qualitative_research / Risk_factors_studies Limite: Humans Idioma: En Revista: JAMA Otolaryngol Head Neck Surg Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil