Dell A J, Kahn D
Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
S Afr J Surg. 2018 Mar;56(1):12-18.
Human resources are the backbone of health-care delivery systems and the lack of surgical workforce in developing countries is often the greatest challenge to providing surgical care. The workforce availability and composition is an important indicator of the strength of the health system. This study aimed to analyse the distribution of general surgeons within South Africa.
A descriptive analysis of the general surgical workforce in South Africa was performed. The total number of specialist and non-specialist general surgeons working in the public sector in South Africa was documented between the periods from the 1 October 2014 until 31 December 2014.
There were significant disparities in the number and distribution of general surgeons in South Africa. There were 1.78 specialist general surgeons per 100 000, of which 0.69 per 100 000 specialist general surgeons were working in the public sector. There were 2.90 non-specialist general surgeons per 100 000. There were 6 specialist general surgeons per 100 000 insured population working in the private sector, which is comparable with the United States (US). Urban provinces such as Gauteng, the Western Cape and KwaZulu-Natal had the largest number of specialist general surgeons per 100 000. These areas had the largest number of medical aid beneficiaries and nearly 60% of specialist general surgeons were estimated to work exclusively in the private sector.
There was a major shortage of surgical providers in South Africa, and in particular the public sector.
人力资源是医疗服务体系的支柱，而发展中国家外科医疗人员的短缺往往是提供外科护理面临的最大挑战。劳动力的可获得性和构成是卫生系统实力的一个重要指标。本研究旨在分析南非普通外科医生的分布情况。
对南非普通外科劳动力进行描述性分析。记录了2014年10月1日至2014年12月31日期间在南非公共部门工作的专科和非专科普通外科医生的总数。
南非普通外科医生的数量和分布存在显著差异。每10万人中有1.78名专科普通外科医生，其中每10万人中有0.69名专科普通外科医生在公共部门工作。每10万人中有2.90名非专科普通外科医生。每10万受保人口中有6名专科普通外科医生在私营部门工作，这与美国相当。豪登省、西开普省和夸祖鲁-纳塔尔省等城市省份每10万人中专科普通外科医生的数量最多。这些地区医疗援助受益人数最多，估计近60%的专科普通外科医生仅在私营部门工作。
南非外科医疗人员严重短缺，尤其是公共部门。
