黎巴嫩的医疗服务提供者：一项针对医生的调查。
The providers of health services in Lebanon: a survey of physicians.
作者信息
Kassak Kassem M, Ghomrawi Hassan M K, Osseiran Arabia Mohamad Ali, Kobeissi Hanaa
机构信息
Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
出版信息
Hum Resour Health. 2006 Feb 17;4:4. doi: 10.1186/1478-4491-4-4.
BACKGROUND
Emerging from civil distress carries with it major challenges to reforming a health system. One such challenge is to ensure an adequate supply of competent human resources. The objective of this study was to assess the supply of physicians in Lebanon in 1998, with an assessment of their practice patterns and capacity building.
METHODS
Lists of members of physician's associations were examined to determine the number of physicians in Lebanon and their geographical distribution. A self-administered survey targeted 388 physicians (5%) randomly stratified by the five regions of Lebanon. Some 377 providers reported information on their demographic profile, practice patterns and development. Further, information on continuing education activities was acquired.
RESULTS
In Lebanon, the overall physician-to-population ratio was 248 per 100, 000, characterized by an evident maldistribution at the intracountry regional level. Physicians worked 38 hours per week examining on average 21 patients per day, with an average time of 30 minutes spent per visit. They also reported spending 11% of their time waiting for patients. Respondents reported a very wide range of income, with 90% earning less than USD 2,000 per month. Moreover, the continuing education profile revealed a total of 43.7 hours per year, similar to that required for board certification in many developed countries. Conference attendance was the dominant continuing education activity (95% of respondents) and consumed most of the time allotted for continuing education, reported at 32 hours per year.
DISCUSSION AND CONCLUSION
Various economic indicators point to an oversupply of physicians in Lebanon and a poor allocation of their time for capacity building. Therefore, it is crucial for decision-makers to closely monitor the increasing supply of providers and institute appropriate intervention strategies, taking into consideration appropriate provision of good-quality services and ensuring that continuing education activities are well established, organized and monitored.
背景
摆脱内乱给卫生系统改革带来了重大挑战。其中一个挑战是确保有足够数量的合格人力资源。本研究的目的是评估1998年黎巴嫩医生的供应情况，并评估他们的执业模式和能力建设情况。
方法
查阅医生协会成员名单，以确定黎巴嫩医生的数量及其地理分布。一项自填式调查针对随机按黎巴嫩五个地区分层的388名医生（5%）。约377名提供者报告了他们的人口统计学资料、执业模式和发展情况。此外，还获取了继续教育活动的信息。
结果
在黎巴嫩，医生与人口的总体比例为每10万人248人，其特点是在国内区域层面存在明显的分布不均。医生每周工作38小时，平均每天检查21名患者，每次就诊平均花费30分钟。他们还报告说，他们有11%的时间在等待患者。受访者报告的收入范围非常广泛，90%的人每月收入低于2000美元。此外，继续教育情况显示每年总计43.7小时，与许多发达国家的委员会认证所需时间相似。参加会议是主要的继续教育活动（95%的受访者），占继续教育分配时间的大部分，报告为每年32小时。
讨论与结论
各种经济指标表明黎巴嫩医生供应过剩，且他们用于能力建设的时间分配不佳。因此，决策者密切监测医疗服务提供者数量的增加并制定适当的干预策略至关重要，要考虑到提供优质服务并确保继续教育活动完善、有序且受到监督。
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