Reveille John D, Muñoz Roberto, Soriano Enrique, Albanese Miguel, Espada Graciela, Lozada Carlos Jose, Montúfar Ruben Antonio, Neubarth Fernando, Vasquez Gloria M, Zummer Michel, Sheen Rosa, Caballero-Uribe Carlo V, Pineda Carlos
From the Division of Rheumatology, The University of Texas Health Science Center at Houston, Houston, TX.
J Clin Rheumatol. 2016 Dec;22(8):405-410. doi: 10.1097/RHU.0000000000000465.
With the increases in and aging of the populations of the Americas, monitoring the number of rheumatologists is critical to address and focus on areas of greatest need.
The aim of this study was to gather data on the rheumatology workforce from 21 national societies in the Pan American League of Associations for Rheumatology (PANLAR).
In September and October 2012 and again in October and November 2015, the heads of the 21 rheumatology national societies were contacted in the 2012 survey; all national societies responded except Cuba. In the 2015 survey, all responded except Nicaragua, for which information was provided by national society presidents in adjacent countries.
The data from 21 societies contained in PANLAR consist of 10,166 adult and 678 pediatric rheumatologists serving 961 million people. The number of rheumatologists per 100,000 population varies greatly from 3.9 per 100,000 people (Uruguay) to 0.11 per 100,000 people (Nicaragua). The number of training programs also varies widely, with some countries having no indigenous programs. The distribution of rheumatologists is mainly in the large cities, particularly in the smaller countries. Pediatric rheumatologists have dramatically increased in number in 2012, but 96% reside in 6 countries. This remains an underserved area in most countries.
The rheumatology workforce in the Americas has improved between 2012 and 2015, especially in the number of pediatric rheumatologists. However, numerically and in the perception of the 21 member societies of PANLAR, the number is still inadequate to meet the increasing demands for rheumatologic care, especially in the care of children with rheumatic disease and in rural areas.
随着美洲人口的增长和老龄化，监测风湿病学家的数量对于应对并关注最迫切需求领域至关重要。
本研究旨在收集泛美风湿病协会联盟（PANLAR）21个国家协会的风湿病专业人员数据。
2012年9月和10月以及2015年10月和11月，在2012年的调查中联系了21个国家风湿病协会的负责人；除古巴外，所有国家协会均作出回应。在2015年的调查中，除尼加拉瓜外所有协会均作出回应，尼加拉瓜的信息由邻国的国家协会主席提供。
PANLAR中21个协会的数据包括为9.61亿人服务的10166名成人风湿病学家和678名儿科风湿病学家。每10万人口中风湿病学家的数量差异很大，从每10万人3.9名（乌拉圭）到每10万人0.11名（尼加拉瓜）。培训项目的数量也差异很大，一些国家没有本土项目。风湿病学家主要分布在大城市，尤其是较小的国家。2012年儿科风湿病学家的数量大幅增加，但96%集中在6个国家。在大多数国家，这仍然是一个服务不足的领域。
2012年至2015年期间，美洲的风湿病专业人员有所增加，尤其是儿科风湿病学家的数量。然而，从数量上以及PANLAR的21个成员协会的认知来看，这一数量仍不足以满足对风湿病护理日益增长的需求，尤其是在风湿性疾病患儿护理和农村地区。
