Yoldi Muñoz Beatriz, Gómez Centeno Antonio, Moreno Muelas José Vicente
Servicio de Reumatología, Hospital Universitari Dexeus-Grupo Quirón Salud, Barcelona, España.
Servicio de Reumatología, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España; Servicio de Reumatología, Hospital Quirón, Barcelona, España.
Reumatol Clin. 2017 Nov-Dec;13(6):313-317. doi: 10.1016/j.reuma.2016.08.007. Epub 2016 Oct 19.
Rheumatologic care is offered by the National Health System in Spain. However, more than a quarter of health spending is carried out in private medicine. Currently, there are no data about the number of rheumatologists with private activity in Spain.
To evaluate the number of rheumatologists with private activity in Spain and to describe the profile and location of these professionals.
A survey was developed and sent from the SER Commission on Private Practice to all SER active members. Data collection ends in December 2014. A descriptive statistical analysis and comparison of results was done.
759 answers from a total of 980 surveys sent (77.45%) were obtained; 38% of Spanish rheumatologists have private activity; 13% exclusively private practice and 25% private practice shared with his or her public activity. The private practice rheumatologist profile is: male, 49 years old with 19 years of experience after finishing the specialty and with a working day of 42hours per week. There is a clear predominance of private practice in the Autonomous Community of Catalonia with 28% of the total, followed by Madrid 18%, Andalusia 12% and Valencia 8%.
38% of Spanish rheumatologists are working in private practice. The profile of professionals working in private practice is different from that of those who work exclusively in public health. Private rheumatology is located in all regions, although most private rheumatologists are located in the regions of Catalonia, Madrid, Valencia and Andalusia, representing more than 50% of the total.
西班牙的国家卫生系统提供风湿病护理服务。然而，超过四分之一的医疗支出是在私立医疗领域进行的。目前，西班牙从事私人执业的风湿病医生数量尚无相关数据。
评估西班牙从事私人执业的风湿病医生数量，并描述这些专业人员的概况和分布地点。
制定了一项调查问卷，并由西班牙风湿病协会（SER）私人执业委员会发送给所有活跃会员。数据收集于2014年12月结束。对结果进行了描述性统计分析和比较。
在总共发送的980份调查问卷中获得了759份回复（回复率为77.45%）；38%的西班牙风湿病医生有私人执业活动；13%为专职私人执业，25%为私人执业与公共执业相结合。从事私人执业的风湿病医生概况为：男性，49岁，完成专科培训后有19年工作经验，每周工作时长为42小时。加泰罗尼亚自治区私人执业明显占主导，占总数的28%，其次是马德里占18%，安达卢西亚占12%，瓦伦西亚占8%。
38%的西班牙风湿病医生从事私人执业。从事私人执业的专业人员概况与仅在公共卫生领域工作的人员不同。私人风湿病业务分布在所有地区，不过大多数私人执业的风湿病医生分布在加泰罗尼亚、马德里、瓦伦西亚和安达卢西亚地区，占总数的50%以上。
