Causes And Consequences Of The Shortage Of Physicians In Sindh, Pakistan: A Local Perspective.

The narrative review was designed to investigate potential factors that contribute to the shortage of primary care and specialty care physician workforce in Sindh, Pakistan, and how the disparity contributes to the proliferation of medical quackery across the province. There are serious consequences for the patients, putting additional strain on Sindh's healthcare system. Pakistan is one of the many countries where the demand for doctors is outpacing the supply. The province of Sindh lacks the medical personnel necessary to address its healthcare needs. Since there is a greater need than supply of general practitioners and specialists, there may be a growing gap between the healthcare workforce and patient care which may reinforce mounting physician shortage in the future due to factors, such as an ageing physician population, an escalating general population, and the fact that many doctors are nearing retirement age.

The prevalence of turnover intention and influencing factors among emergency physicians: a national observation.

BACKGROUND: Adverse consequences of physician turnover include financial losses, reduced patient satisfaction, and organizational instability. However, no study has reported the prevalence among emergency physicians. This study explore the rate and influencing factors of this community, which could provide a reference for preventing the loss of emergency physicians. METHODS: A nationally representative cross-sectional survey of 15,243 emergency physicians was conducted in 31 provinces across China between July and September 2019. Multivariable logistic regression analysis was performed to identify predictors of turnover intention. RESULTS: There were 49.75% of emergency physicians having turnover intention. Logistic regression analysis model showed that emergency physicians who were male (OR = 0.87) and older [> 37 and ≤ 43 (OR = 0.78) or > 43 (OR = 0.64)], worked in eastern China (OR = 0.88) and higher level of hospital [two-grade level (OR = 0.71) or three-grade level (OR = 0.56)], and had high (OR = 0.75) or middle (OR = 0.81) level income were not more likely to have less turnover intention, while those who had higher education level [bachelor degree (OR = 1.55) or master degree or higher (OR = 1.63)], long work tenure [> 3 and ≤ 6 (OR = 1.29) or > 6 and ≤ 11 (OR = 1.41) or > 11 (OR = 1.25)], poorer health status [fair (OR = 1.55) or poor (OR = 2.12)] and sleep quality [fair (OR = 1.16) or poor (OR = 1.43)], history of coronary heart disease (OR = 1.29), depression (OR = 2.77) and experienced the shift work (OR = 1.37) and workplace violence (OR = 1.78) were more likely to intend to leave. CONCLUSION: Nearly half of emergency physicians in China have turnover intention. Targeted intervening measures should be taken to reduce the turnover intention, so as to avoid the shortage of physicians and thus hinder the supply of emergency medical services.

Selection of right medical students to combat rural shortage of doctors: could it be a solution? In perspective of Bangladesh.

This article was migrated. The article was marked as recommended. This comparative cross-sectional study was conducted to find the association between duration of service in rural health facilities and physicians' background factors to redress geographic imbalances in physician distribution. Among 6898 participants, information of 989 were retrieved from Directorate General of Health Services (DGHS), Minsitry of Health and Family Welfare (MOHFW), Bangladesh, through systematic sampling. Physicians who worked in rural health facilities for less than 3 years were labelled as group A, and those worked 3 years or more in rural places were put in group B. Background factors of two groups were compared and proportion of doctors living and working in rural areas was sorted. Among the participants, eighty percent were working in urban facilities and 50% worked in rural areas for less than three years. Proportion of females was about 30% and there was no significant differences between male and female in terms of duration of stay in rural areas in both groups (p=0.07). The association between place of completion of secondary school certificate (SSC) examination and duration of services in the rural areas were found statistically significant (p=0.003). Apart from this, no other background factors were found to be significantly associated.

Programa Mais Médicos: avaliando a implantação do Eixo Provimento de 2013 a 2015 / The Brazilian More Doctors Program: evaluat ing the implementation of the Provision axis from 2013 to 2015 / Programa Más Médicos: evaluación de la implantación del eje de Provisión de 2013 a 2015

O Programa Mais Médicos foi criado em 2013 para enfrentar desafios que condicionavam a expansão e o desenvolvimento da Atenção Básica (AB), sobretudo, a insuficiência e má distribuição de médicos e o perfil de formação inadequado às necessidades da população. O programa é composto por três eixos: provimento emergencial, qualificação da infraestrutura e mudança da formação. Neste artigo realizamos análise documental, análise de bancos de dados oficiais e revisão de literatura, com o objetivo de avaliar resultados do provimento de médicos alcançados até 2015. Identificamos avanços importantes na alocação dos médicos com equidade; na ampliação da cobertura da AB; na ampliação do acesso da população às ações de AB; no impacto nos indicadores de saúde; e na avaliação positiva que usuários, médicos e gestores têm do programa. Na conclusão, são apontados desafios enfrentados pelo programa para alcançar efetivamente seus objetivos.

The More Doctors Program was created in 2013 to address challenges that constrained the expansion and development of PC, mainly the insufficiency and maldistribution of physicians and the inadequate training profile related to the needs of the population. The program consists of three axes: emergency provision, improvement of infrastructure and changes in training. This paper performs documentary and literature review as well as analysis of official databases with the objective of evaluating the results achieved up to 2015 with regards to physicians supply. We identified important advances in the allocation of physicians with equity; in the expansion of PC coverage; in expanding access to basic health care for the population; its impact on health indicators; and the positive evaluation made by users, physicians and managers regarding the program. As a conclusion, challenges faced by the program to effectively achieve its objectives are pointed out.

El Programa Más Médicos fue creado en 2013 para enfrentar desafíos que condicionaban la expansión y el desarrollo de la AB, principalmente la insuficiencia y la mala distribución de médicos y el perfil de formación inadecuado a las necesidades de la población. El programa se compone de tres ejes: provisión de emergencia, calificación de la infraestructura y cambio de la formación. En este artículo realizamos análisis documental, análisis de bancos de datos oficiales y revisión de literatura con el objetivo de evaluar los resultados de la provisión de médicos alcanzados hasta 2015. Identificamos avances importantes en la asignación de los médicos con equidad, en la ampliación de la cobertura de la AB, en la ampliación del acceso de la población a las acciones de atención básica, en el impacto en los indicadores de salud y en la evaluación positiva que usuarios, médicos y gestores realizan del programa. En la conclusión se señalan desafíos enfrentados por el programa para alcanzar efectivamente sus objetivos.