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1.
Neurology ; 93(23): 1002-1008, 2019 12 03.
Artigo em Inglês | MEDLINE | ID: mdl-31690682

RESUMO

Neurology faces an increasing shortage of neurologists in the United States due to a growing demand for neurologic services. A 7% increase in the supply of neurologists is predicted from 2012 to 2025, whereas the demand will rise by 16%. An increase in the neurology workforce is critical to meet the demands, and a significant gender gap remains within the workforce that must be addressed to further ease the discrepancy between supply and demand. Individual, institutional, and societal factors contribute to this gender discrepancy and potentially result in the burnout or soft attrition of women from neurology. These factors, including earning disparity between male and female neurologists, one of the largest gaps in pay for any medical specialty, and the lack of representation at higher academic levels with only 12% (14 of 113) of neurology department chairs at academic medical centers being women, could lead to increased attrition of women from neurology. Identifying and mitigating these factors may help narrow the gender gap and increase the supply of neurologists to better meet future demand.


Assuntos
Esgotamento Profissional , Mão de Obra em Saúde , Neurologistas/provisão & distribução , Neurologia , Distribuição por Sexo , Feminino , Mão de Obra em Saúde/estatística & dados numéricos , Mão de Obra em Saúde/tendências , Humanos , Masculino , Neurologistas/psicologia
3.
Public Health ; 175: 108-110, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31470236

RESUMO

OBJECTIVES: The aim of the study was to quantify the current shortage of general surgeons in the state of Georgia and to estimate the shortage in 2040. STUDY DESIGN: This is a population-based longitudinal study. METHODS: Data were collected from the US Census Bureau, the Georgia Board for Physician Workforce, and the Accreditation Council for Graduate Medical Education to evaluate changes in the supply of general surgeons from 2000 to 2017 and estimate an expected shortage through 2040. RESULTS: The state of Georgia experienced a net loss of 120 surgeons from 2000 to 2017 and currently faces a shortage of 139 general surgeons. We project a deficit of between 285 and 725 general surgeons in the state of Georgia by 2040. CONCLUSION: Georgia will face a substantial general surgical workforce shortage by 2040. Enhanced efforts at boosting both the output of surgical training programs as well as recruitment and retention of surgeons may help alleviate this deficit.


Assuntos
Previsões , Clínicos Gerais/provisão & distribução , Cirurgia Geral/organização & administração , Mão de Obra em Saúde/tendências , Georgia , Humanos , Estudos Longitudinais , Saúde Pública
6.
Orv Hetil ; 160(31): 1223-1230, 2019 Aug.
Artigo em Húngaro | MEDLINE | ID: mdl-31352809

RESUMO

Introduction: The Human Resources for Health (HRH) mobility and migration are considered as global phenomena. The European Union often faces the mobility of health professionals on a system level. Hungary is recognised among the sending countries, therefore both international and national level health workforce monitoring, planning, and forecasting are inevitable. Aim: The purpose of this research was to investigate the national demographical profiles of the medical professions affected most significantly by the Hungarian HRH mobility process. Method: Age and regional distribution analyses of the requests for degree certificate issued by the National Healthcare Services Centre were carried out between the years of 2010 and 2017. Results: In Hungary, the rate of mobility - the number of requests for degree certificate among the licensed to practice professionals - resulted in the following: the highest rate was detected in anaesthesiology and intensive therapy with 23.5%, in surgery 17.9%, then internal medicine 7.9%, paediatrics 7.4%, and in general practice 6.4%. According to the results, in the 5 above mentioned professions, the physicians most affected by mobility are mostly from the age cohort of 50+. Furthermore, the results also highlight the territorial inequalities: the region of the capital as well as the medical university towns and counties are in the most favourable situation in terms of professional care and supply. Conclusion: Therefore, it can be concluded that in the case of the 5 investigated subspecialties, not only the overall age of the physicians is higher in the disadvantaged areas, but these regions also have to face a more severe shortage of specialists. Orv Hetil. 2019; 160(31): 1223-1230.


Assuntos
Pessoal de Saúde , Mão de Obra em Saúde/organização & administração , Médicos/provisão & distribução , Especialização/estatística & dados numéricos , Adulto , Emigração e Imigração , Mão de Obra em Saúde/tendências , Humanos , Hungria , Pessoa de Meia-Idade
7.
Intern Med J ; 49(7): 908-910, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31295778

RESUMO

Delivery of culturally safe healthcare is critical to ensuring access to high-quality care for indigenous people. A key component of this is for Aboriginal and Torres Strait Islander people to be participants in the health workforce. The proportion of indigenous people in the health workforce should at least equate to the proportion in the population served. We describe the development and implementation of a successful affirmative action employment policy at Monash Health, one of Australia's largest Academic Health Centres, and provide perspective on its adoption.


Assuntos
Emprego/legislação & jurisprudência , Mão de Obra em Saúde/legislação & jurisprudência , Grupo com Ancestrais Oceânicos/legislação & jurisprudência , Política Pública/legislação & jurisprudência , Austrália/etnologia , Emprego/tendências , Serviços de Saúde do Indígena/legislação & jurisprudência , Serviços de Saúde do Indígena/tendências , Mão de Obra em Saúde/tendências , Humanos , Política Pública/tendências
9.
Rev Assoc Med Bras (1992) ; 65(6): 796-800, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31340307

RESUMO

OBJECTIVE: To estimate the human resources and services needed to meet the demand of the Brazilian population who would benefit from palliative care, based on the population growth projection for 2040. METHODS: Population and mortality estimates and projections were obtained from the Brazilian Institute of Geography and Statistics. Service needs were estimated based on literature data. RESULTS: The expected increase in the Brazilian population for 2000-2040 is 31.5%. The minimum estimate of patients with palliative care needs was 662,065 in 2000 and 1,166,279 in 2040. The staff required for each hundred thousand inhabitants would increase from 1,734 to 2,282, the number of doctors needed would increase from 4,470 to 6,274, and the number of nurses from 8,586 to 11,294, for the same period. CONCLUSION: The definition of a national strategy predicting the increasing palliative care needs of the population is necessary. The expansion of the support network for chronic and non-transmissible diseases is necessary, but the training of existing human resources at all levels of attention to perform palliative actions can be a feasible alternative to minimize the suffering of the population.


Assuntos
Necessidades e Demandas de Serviços de Saúde/tendências , Mão de Obra em Saúde/tendências , Cuidados Paliativos/tendências , Brasil , Feminino , Previsões , Acesso aos Serviços de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Masculino , Cuidados Paliativos/estatística & dados numéricos , Fatores de Tempo
10.
BMC Med Educ ; 19(1): 136, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31068165

RESUMO

BACKGROUND: Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver of limited surgical capacity worldwide. We aimed to identify predictors of entry into Surgery, Anesthesia, and Obstetrics and Gynecology (SAO) fields and preference of working in the public sector in Brazil which may help in profiling medical students for recruitment into these needed areas. METHODS: A questionnaire was applied to all Brazilian medical graduates registered with a Board of Medicine from 2014 to 2015. Twenty-three characteristics were analyzed. Logistic regression was used to determine predictors' influence on outcome. RESULTS: There were 4601 (28.2%) responders to the survey, of which 40.5% (CI 34.7-46.5%) plan to enter SAO careers. Of the 23 characteristics analyzed, eight differed significantly between those who planned to work in SAO and those who did not. Of those eight characteristics, just three were significant predictors in the regression model: preference for working in the hospital setting, having spent more than 70% of their clinical years in practical activities, and valuing the substantial earning potential. These three factors explained only 6.3% of the variance in SAO preference. Within the graduates who preferred SAO careers, there were only two predictors for working in the public sector ("preparatory time before medical school" and valuing "prestige/status"). CONCLUSIONS: Factors affecting specialty and sector choice are multifaceted and difficult to predict. Future programs to fill provider gaps should identify methods other than medical student profiling to assure specialty and sector needs are met.


Assuntos
Anestesiologia/educação , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Cirurgia Geral/educação , Mão de Obra em Saúde/tendências , Obstetrícia/educação , Estudantes de Medicina/estatística & dados numéricos , Adulto , Brasil , Escolha da Profissão , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Masculino , Especialização
11.
N C Med J ; 80(3): 155-158, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31072943

RESUMO

North Carolina's health care workforce is evolving quickly as the demographics of the state's broader population change. There are many initiatives aimed at addressing this evolution, but educators, practitioners, policymakers, and the broader health care community must leverage resources to ensure the future workforce reflects the state's population and needs.


Assuntos
Mão de Obra em Saúde/tendências , Humanos , North Carolina
12.
N C Med J ; 80(3): 167-170, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31072948

RESUMO

In North Carolina, total health care employment increased by 70% between 2000 and 2016. Many health care professions are evolving and experiencing rapid growth due to changes in the professions themselves and in how these workers are being utilized in the health care environment. Academic institutions must stay abreast of trends in health care workforce needs including new and emerging professions.


Assuntos
Pessoal de Saúde/educação , Mão de Obra em Saúde/tendências , Humanos , North Carolina
13.
Orthop Clin North Am ; 50(3): 315-325, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31084833

RESUMO

Pediatric orthopedic surgery has changed in many ways over the past 2 decades. Member surveys and recent literature confirm that there has been a sustained balance of interest and opportunity in growth of applicant numbers and fellowship spots. Pediatric orthopedics is leading the way in gender diversity in orthopedics. Concerns of competition are valid and appear to be rising; however, case load data suggest that with increased training of pediatric orthopedists, there seems to be an adequate increase in cases. Periodic workforce analysis should continue to gauge any changes in attitudes or monitor concerns of competition.


Assuntos
Mão de Obra em Saúde/tendências , Ortopedia/tendências , Pediatria/tendências , Bolsas de Estudo , Previsões , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Ortopedia/economia , Ortopedia/educação , Ortopedia/estatística & dados numéricos , Pediatria/economia , Pediatria/educação , Pediatria/estatística & dados numéricos , Salários e Benefícios , Especialização
14.
Saúde debate ; 43(120): 256-268, jan.-mar. 2019. graf
Artigo em Português | LILACS, Repositório RHS | ID: biblio-1004680

RESUMO

RESUMO O acesso à saúde de forma universal e equitativa está preconizado na Constituição Federal de 1988, devendo ser garantida pelo Sistema Único de Saúde (SUS). Dentre os diversos fatores que contribuem para a não efetivação dos princípios do SUS, destacam-se a insuficiência de profissionais e as disparidades regionais na distribuição de recursos humanos, principalmente médicos. Este artigo relata a experiência de avaliação do Programa Mais Médicos (PMM) por uma equipe multidisciplinar composta por 28 pesquisadores, a partir de trabalho de campo em 32 municípios com 20% ou mais da população em extrema pobreza selecionados em todas as regiões do Brasil (áreas remotas, distantes das capitais e comunidades quilombolas rurais), além de análises sobre os 5.570 municípios brasileiros baseadas em bancos de dados do Ministério da Saúde. A pesquisa resultou em vasta produção científica, apontando importantes resultados, como ampliação do acesso à saúde e redução de internações evitáveis. As reflexões aqui trazidas permitem concluir que o PMM contribuiu para a efetivação e consolidação dos princípios e diretrizes do SUS e garantiu acesso à saúde, especialmente para as populações mais pobres, municípios pequenos e regiões remotas e longínquas.


ABSTRACT The universal and equitable access to health is established in the Brazilian Federal Constitution of 1988 and must be guaranteed by the Brazilian Unified Health System - the Sistema Único de Saúde (SUS). The lack of professionals and the large regional differences in the distribution of human resources, mainly physicians, are factors that contribute to the non-fulfillment of the SUS principles. This article reports the experience of evaluation of the More Doctors Program (PMM) by a multidisciplinary team composed of 28 researchers, based on field work in 32 municipalities with 20% or more of the population in extreme poverty selected in all regions of Brazil (remote areas, far from capitals, and rural maroon communities), as well as analyzes of the 5,570 Brazilian municipalities based on the Ministry of Health databases. The research resulted in a vast scientific production, pointing out important results, such as broadening of access to health and reducing of avoidable hospitalizations. The reflections brought here show that the PMM contributed to the implementation and consolidation of the SUS principles and guidelines, and guaranteed access to health, especially for the poorest populations, small municipalities and remote and distant regions.


Assuntos
Humanos , Serviços de Saúde Rural/tendências , Mão de Obra em Saúde/tendências , Atenção Primária à Saúde , Brasil , Programas Nacionais de Saúde/tendências
15.
J Surg Res ; 239: 8-13, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30782545

RESUMO

BACKGROUND: St. Boniface Hospital (SBH) plays a critical role in providing safe, accessible surgery in rural southern Haiti. We examine the impact of SBH increasing surgical capacity on case volume, patient complexity, and inpatient mortality across three phases. MATERIALS AND METHODS: A retrospective review and geospatial analysis of all surgical cases performed at SBH between 2015 and 2017 were performed. Inpatient mortality was defined by in-hospital deaths divided by the number of procedures performed. RESULTS: Between February 2015 and August 2017, over 2000 procedures were performed. The average number of surgeries per week was 3.1 with visiting surgical teams in phase 1 (P1), 10.4 with a single general surgeon in phase 2 (P2), and 20.1 with two surgeons and a resident in phase 3 (P3). There was a six-fold increase in surgical volume between P1 and P3 and a significant increase in case complexity. The distribution of American Society of Anesthesiologists scores of 1, 2, 3, and 4 during P2 was 81.05%, 14.74%, 3.42%, and 0.79%, respectively, whereas in P3, the distribution was 68.91%, 22.55%, 7.70%, and 0.84%. Surgical mortality was 0%, 1.2%, and 1.67% across phases. CONCLUSIONS: Increasing resources and surgical staff at SBH allowed for greater delivery of safe surgical care. This study highlights that investing in surgery has a significant impact in regions of great surgical need.


Assuntos
Complicações Pós-Operatórias/epidemiologia , Serviços de Saúde Rural/tendências , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Centros de Atenção Terciária/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Adulto , Criança , Países em Desenvolvimento , Haiti/epidemiologia , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/tendências , Mão de Obra em Saúde/economia , Mão de Obra em Saúde/estatística & dados numéricos , Mão de Obra em Saúde/tendências , Mortalidade Hospitalar/tendências , Humanos , Complicações Pós-Operatórias/economia , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Serviços de Saúde Rural/economia , Serviços de Saúde Rural/estatística & dados numéricos , Procedimentos Cirúrgicos Operatórios/efeitos adversos , Procedimentos Cirúrgicos Operatórios/mortalidade , Centros de Atenção Terciária/economia , Centros de Atenção Terciária/tendências
16.
Clin Respir J ; 13(4): 232-238, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30724022

RESUMO

BACKGROUND: The shortage in intensivist workforce has been long recognized but no solution has been identified. Meanwhile, fellowships in pulmonary and critical care medicine (PCCM) are expanding, other critical care medicine (CCM) programs are contracting. No explanation exists for this contradictory trend, although understanding contributory factors may lead to a solution for the shortage. The fundamental difference between PCCM and other CCM programs lies in the residency training of trainees. We tested the hypothesis that the nature of CCM practice determines its attractiveness to potential candidates. METHODS: A questionnaire-based survey was administered recording all daily activities in four different kinds of ICUs at two teaching hospitals one was public, and one was private. Activities were categorized into conventional CCM, respiratory, medical, and surgical interventions. RESULTS: The average daily census was 17.6 ± 6.6. Across two MICU, one trauma/surgical and one cardiothoracic ICU the average daily activity ranged from 152 to 203 of these CCM formed 27%-36%, respiratory 10%-13%, medical 43%-59%, and surgical 1%-15%. The combination of medical and respiratory interventions represented >50% of daily activities among all the ICUs. CONCLUSIONS: Quantitative description of ICU activities indicates that the majority of the ICU daily practice relies on medical and respiratory interventions, which may explain why PCCM remains popular.


Assuntos
Cuidados Críticos/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Unidades de Terapia Intensiva/estatística & dados numéricos , Médicos/provisão & distribução , Adulto , Cuidados Críticos/tendências , Educação de Pós-Graduação em Medicina/normas , Bolsas de Estudo/normas , Feminino , Mão de Obra em Saúde/tendências , Humanos , Internato e Residência/normas , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
17.
J Pediatr Surg ; 54(5): 1009-1012, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30795911

RESUMO

BACKGROUND: In 2014, a survey study of the Canadian pediatric surgery workforce predicted a need for 2 new pediatric surgeons/yr. in Canada. We sought to assess these predictions and evaluate the status of the workforce. METHODS: With IRB approval, a web-based survey was sent to pediatric surgery division chiefs in Canada each year (2013-2017). The survey data included: number of practicing pediatric surgeons, full time equivalent (FTE) positions, and fellowship graduates. RESULTS: There was a 100% response rate (18 divisions). From 2013 to 2017, the number of practicing pediatric surgeons and FTE positions increased (73 to 78, and 64.6 to 67.5, respectively). Eleven positions were vacated (4 retirement, 7 new practice), and 18 were filled. Eight were filled by new Canadian graduates, 7 by Canadians previously working in Canada or abroad, and 3 by European surgeons. Thirty-eight fellows completed training in Canada, including 24 non-Canadians who all left Canada. Nine Canadians who started practicing immediately after fellowship took positions in Canada (5) and the US (4). CONCLUSIONS: Predictions made in 2014 were largely accurate. There has been modest growth in the Canadian pediatric surgery workforce over the last 5 years. A significant mismatch continues to exist between Canadian pediatric surgery graduates and attending staff positions. TYPE OF STUDY: Survey. LEVEL OF EVIDENCE: V.


Assuntos
Mão de Obra em Saúde/tendências , Pediatria/tendências , Especialidades Cirúrgicas/tendências , Cirurgiões/provisão & distribução , Canadá , Educação de Pós-Graduação em Medicina/tendências , Bolsas de Estudo/tendências , Feminino , Humanos , Masculino , Pediatria/organização & administração , Estudos Prospectivos , Especialidades Cirúrgicas/organização & administração , Cirurgiões/tendências , Inquéritos e Questionários
18.
BMJ Open ; 9(1): e022923, 2019 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-30705237

RESUMO

OBJECTIVE: To measure inequalities in the distributions of selected healthcare resources and outcomes in Ethiopia from 2000 to 2015. DESIGN: A panel data analysis was performed to measure inequalities in distribution of healthcare workforce, infrastructure, outcomes and finance, using secondary data. SETTING: The study was conducted across 11 regions in Ethiopia. PARTICIPANTS: Regional population and selected healthcare workforce. OUTCOMES MEASURED: Aggregate Theil and Gini indices, changes in inequalities and elasticity of healthcare resources. RESULTS: Despite marked inequality reductions over a 16 year period, the Theil and Gini indices for the healthcare resources distributions remained high. Among the healthcare workforce distributions, the Gini index (GI) was lowest for nurses plus midwives (GI=0.428, 95% CI 0.393 to 0.463) and highest for specialist doctors (SPDs) (GI=0.704, 95% CI 0.652 to 0.756). Inter-region inequality was the highest for SPDs (95.0%) and the lowest for health officers (53.8%). The GIs for hospital beds, hospitals and health centres (HCs) were 0.592(95% CI 0.563 to 0.621), 0.460(95% CI 0.404 to 0.517) and 0.409(95% CI 0.380 to 0.439), respectively. The interaction term was highest for HC distributions (47.7%). Outpatient department visit per capita (GI=0.349, 95% CI 0.321 to 0.377) and fully immunised children (GI=0.307, 95% CI 0.269 to 0.345) showed inequalities; inequality in the under 5 years of age mortality rate increased overtime (P=0.048). Overall, GI for government health expenditure (GHE) was 0.596(95% CI 0.544 to 0.648), and the estimated relative GHE share of the healthcare workforce and infrastructure distributions were 46.5% and 53.5%, respectively. The marginal changes in the healthcare resources distributions were towards the advantaged populations. CONCLUSION: This study revealed high inequalities in healthcare resources in favour of the advantaged populations which can hinder equal access to healthcare and the achievements of healthcare outcomes. The government should strengthen monitoring mechanisms to address inequalities based on the national healthcare standards.


Assuntos
Financiamento Governamental/organização & administração , Gastos em Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/economia , Mão de Obra em Saúde/tendências , Disparidades em Assistência à Saúde/economia , Análise de Dados , Etiópia , Hospitais , Humanos
19.
Acad Med ; 94(5): 659-663, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30640263

RESUMO

In academic medicine, the attrition of the physician-scientist workforce has been significantly discussed for the past three decades, with substantial attention and funding targeted to stop this attrition and attempt to reinvigorate the workforce. Despite these concerns and efforts, the attrition has not been stopped or even significantly slowed, and thus a further understanding of the physician-scientist workforce is needed with a closer look at how this workforce is measured and quantified. Through reviewing three methods by which physician-scientists are identified and understood, limitations in these definitions arise, leading to the basic question: Who qualifies to be a physician-scientist? Answering this question may lead to developing more comprehensive and less restrictive approaches when qualifying and measuring the physician-scientist workforce and appreciating the varying contributions physicians make to research. Through suggesting an expanded appreciation of these research contributions, recognition of collaboration, and funding models that support both of these aspects, the authors hope to add to the conversation by challenging traditional approaches and encouraging movement toward forward-looking definitions that encourage and promote all physicians to engage with research. This reimagining of physician-scientists will result not just in a remeasuring of the workforce but, subsequently, in strengthening the clinical and translational research continuum as well.


Assuntos
Pesquisa Biomédica/educação , Pesquisa Biomédica/tendências , Educação Médica/tendências , Mão de Obra em Saúde/tendências , Médicos/tendências , Pesquisadores/educação , Pesquisadores/tendências , Adulto , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
20.
Pediatr Surg Int ; 35(4): 517-522, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30607543

RESUMO

PURPOSE: Our objective was to determine if there was an association between subspecialist supply and a specific sub-set of procedures performed by pediatric surgeons over a 10-year period. METHODS: Data source was the Pediatric Health Information Systems database. Included were patients < 12 years who underwent one of nine outpatient surgical procedures between 1/1/2005 and 12/31/2014. Procedures were grouped into categories: pediatric surgery cases (PS), overlapping otolaryngology cases (OO), and overlapping urology cases (OU). Outcomes were number of cases performed by pediatric surgeons per pediatric surgeon, and proportion of cases performed by pediatric surgeons. Linear regression was used to test for association and temporal trends. RESULTS: Included were 193,695 procedures, 18.9% PS, 4.8% OO, and 76.3% OU. There was a strong association between specialty supply and number of cases performed by pediatric surgeons. Temporally, there was no change in proportion of pediatric surgeons who performed PS cases (R2 = 0.08, p = 0.08), but a downward trend in proportion of OO (R2 = 0.82, p < 0.001) and OU cases. (R2 = 0.79; p < 0.001.) CONCLUSION: We found an association between physician supply and pediatric surgeon case type, and a reduction in OO and OU cases performed by pediatric surgeons. These findings suggest a narrowing of case-mix for pediatric surgeons.


Assuntos
Mão de Obra em Saúde/tendências , Pediatria/estatística & dados numéricos , Cirurgiões/estatística & dados numéricos , Procedimentos Cirúrgicos Operatórios/tendências , Carga de Trabalho/estatística & dados numéricos , Criança , Bases de Dados Factuais , Feminino , Humanos , Masculino , Estudos Retrospectivos , Estados Unidos
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