Delgado A P, Tolentino A C, Ferrinho P
Global Health and Tropical Medicine, GHTM, WHO Collaborating Centre on Health Workforce Policy and Planning, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Rua da Junqueira 100, 1349-008, Lisboa, Portugal.
Fundação Amílcar Cabral, Praia, Cape Verde.
Hum Resour Health. 2017 Jan 18;15(1):5. doi: 10.1186/s12960-017-0180-9.
Cape Verdean doctors have always graduated abroad. The first experience of pre-graduate medical education in Cape Verde begun in October 2015. Counting how many doctors Cape Verde has, knowing who they are, and knowing how they are distributed are very important to help fine-tune the medical training. The aim of this study is to analyze the evolution of the medical workforce in Cape Verde to support medical education implementation.
Secondary data on doctors, from July 1975 until December 2014, collected from the Ministry of Health, were entered into an SPSS 20 database and studied by a simple descriptive statistical analysis.
The database included data on 401 medical doctors. There was a predominance of females (n = 218; 54.4%). The overwhelming majority (n = 378; 94.3%) graduated from 5 of the 17 countries that contributed to the training of Cape Verdean doctors. All the islands of this archipelago country contributed to the 324 (80.8%) doctors born in the country. Of the 272 doctors still active in December 2014, 119 (43.6%) were general practitioners and 153 (56.4%) had specialized in one of the 31 specialties. The national ratio of doctors per 10 000 inhabitants was 5.25, but the reality varied significantly among islands. About one third of the doctors (n = 86; 32%) were at the primary care level, 38 (14%) at the secondary care level, and 144 (52%) in central hospitals. In 2053, all active physicians in 2014 will already be retired.
This is a unique study of the evolution of the medical workforce of a country over 40 years, from the first day of independence. The study illustrates the importance of international collaborations, particularly of Cuba, in sustaining the medical workforce in Cape Verde. It is an example of how this collaboration was used to equip the country with doctors in an increasingly more equitable distribution across all islands. The study further illustrates the progressive feminization of the medical workforce. The study clarifies the effort required from the emerging medical faculty to supply the national health system with the needed number of doctors.
佛得角的医生一直都在国外毕业。佛得角研究生医学教育的首次尝试始于2015年10月。统计佛得角有多少医生、他们是谁以及他们的分布情况对于优化医学培训非常重要。本研究的目的是分析佛得角医疗人力的演变情况，以支持医学教育的实施。
从1975年7月至2014年12月期间从卫生部收集的关于医生的二手数据被录入SPSS 20数据库，并通过简单的描述性统计分析进行研究。
该数据库包含401名医生的数据。女性占多数（n = 218；54.4%）。绝大多数（n = 378；94.3%）毕业于为佛得角医生提供培训的17个国家中的5个国家。这个群岛国家的所有岛屿都有为本国出生的324名（80.8%）医生做出贡献。在2014年12月仍在执业的272名医生中，119名（43.6%）是全科医生，153名（56.4%）在31个专科中的某一专科领域有专长。该国每10000居民中的医生比例为5.25，但各岛屿之间的实际情况差异很大。约三分之一的医生（n = 86；32%）在基层医疗层面，38名（14%）在二级医疗层面，144名（52%）在中心医院。到2053年，2014年所有在职医生都将退休。
这是一项关于一个国家自独立第一天起40多年来医疗人力演变的独特研究。该研究说明了国际合作，特别是与古巴的合作，在维持佛得角医疗人力方面的重要性。这是一个关于如何利用这种合作使该国在所有岛屿上以越来越公平的方式配备医生的例子。该研究进一步说明了医疗人力的逐步女性化。该研究阐明了新兴医学院校为国家卫生系统提供所需数量医生所需付出的努力。
