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[2017年人口普查:葡萄牙有足够的麻醉医生吗?]

[2017 Census: are there enough anaesthesiologists in Portugal?].

作者信息

Lemos Paulo, Guedes Alexandra, Mourão Joana, Lima Joaquim Figueiredo, Veiga José, Chedas Manuel, Branca Pedro, Abrunhosa Rosário, Cadilha Susana, Almeida Valentina

机构信息

Direção do Colégio de Anestesiologia (2015 - 2017). Ordem dos Médicos. Lisboa. Portugal.

出版信息

Acta Med Port. 2018 May 30;31(5):254-264. doi: 10.20344/amp.10094.

DOI:10.20344/amp.10094
PMID:29916356
Abstract

INTRODUCTION

The objective of this study is to identify the number of anaesthesiologists working in Portugal and to monitor the national activity of this medical specialty by comparing it with a similar Census performed in 2014.

MATERIAL AND METHODS

Observational cross-sectional study. Data related to the month of May 2017 was collected from Anaesthesiology departments of 53 Portuguese public institutions from a total of 86 hospitals.

RESULTS

The Census registered 615 127 surgical procedures (3.4% more than in 2013), 84.1% of which on a non-emergent basis, and 49.6% day case surgery (6.1% more than in 2013). Moreover, 89 608 procedures were performed outside the operating rooms (19.0% less than in 2013), 282 944 were anaesthetic clinics (1.3% more than in 2013) and 112 183 were chronic pain evaluations (13.1% more than in 2013). In addition, 51 380 labour analgesia were performed for delivery (14.3% more than in 2013) corresponding to 70.5% of all deliveries occurring in the Obstetric department of Portuguese public hospitals in 2016 (5% more than in 2013). A total of 1280 Anaesthesiologists were identified (2.1% more than in May 2014), corresponding to a ratio of 12.4 per 100 000 inhabitants (it was 12.0 in May 2014). Together with the 262 anaesthesiologists that work exclusively in the private system, we found a total sum of 1542 anaesthesiologists indicating a ratio of 15.1 per 100 000 inhabitants (it was 13.9 in 2014).

DISCUSSION

We predict that the identified deficit of 541 anaesthesiologists in the Portuguese National Health Service should be reduced by two thirds until 2023. The reduction of the shortage of anaesthesiologists will allow an increase in human resource capacity in Anaesthesiology.

CONCLUSION

Even though there was a slight increase in the ratio of Anaesthesiologists per inhabitant in 2017 compared to 2014, Portugal maintains a shortage of Anaesthesiologists.

摘要

引言

本研究的目的是确定在葡萄牙工作的麻醉医生数量,并通过与2014年进行的类似普查相比较,监测该医学专业的全国活动情况。

材料与方法

观察性横断面研究。收集了来自葡萄牙86家医院中53家公立机构麻醉科2017年5月的数据。

结果

普查登记了615127例外科手术(比2013年增加3.4%),其中84.1%为非急诊手术,49.6%为日间手术(比2013年增加6.1%)。此外,89608例手术在手术室以外进行(比2013年减少19.0%),282944例为麻醉门诊(比2013年增加1.3%),112183例为慢性疼痛评估(比2013年增加13.1%)。另外,为分娩进行了51380例分娩镇痛(比2013年增加14.3%),占2016年葡萄牙公立医院产科所有分娩的70.5%(比2013年增加5%)。共确定了1280名麻醉医生(比2014年5月增加2.1%),相当于每10万居民中有12.4名(2014年5月为12.0名)。加上专门在私立系统工作

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