Dell A J, Gray S, Fraser R, Held M, Dunn R
Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Medical Intern, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
World J Surg. 2018 Dec;42(12):3849-3855. doi: 10.1007/s00268-018-4709-4.
In the era of global surgery, there are limited data regarding the available surgical workforce in South Africa.
This aim of this study was to determine the orthopaedic surgeon density in South Africa. This involved a quantitative descriptive analysis of all registered specialist orthopaedic surgeons in South Africa, using data collected from various professional societal national databases.
The results showed 1.63 orthopaedic surgeons per 100,000 population. The vast majority were male (95%) with under two-thirds (65%) being under the age of 55 years. The majority of the orthopaedic surgeons were found in Gauteng, followed by the Western Cape and Kwa-Zulu Natal. The majority of specialists reportedly worked either full time or part time in the private sector (95%), and the orthopaedic surgeon density per uninsured population (0.36) was far below that of the private sector (8.3).
Interprovincial differences as well as intersectoral differences were marked indicating geographic and socio-economic maldistribution of orthopaedic surgeons. This parallels previous studies which looked at other surgical sub-disciplines in South Africa. Addressing this maldistribution requires concerted efforts to expand public sector specialist posts as well as quantifying the burden of orthopaedic disease in both private and public sectors before recommendations can be made regarding workforce allocation in the future.
IV.
在全球外科手术时代，关于南非现有外科手术人力的数据有限。
本研究的目的是确定南非骨科医生的密度。这涉及对南非所有注册的骨科专科医生进行定量描述性分析，使用从各种专业协会国家数据库收集的数据。
结果显示每10万人口中有1.63名骨科医生。绝大多数为男性（95%），不到三分之二（65%）的人年龄在55岁以下。大多数骨科医生分布在豪登省，其次是西开普省和夸祖鲁-纳塔尔省。据报道，大多数专科医生在私营部门全职或兼职工作（95%），每 uninsured 人口的骨科医生密度（0.36）远低于私营部门（8.3）。
省际差异和部门间差异明显，表明骨科医生在地理和社会经济方面分布不均。这与之前研究南非其他外科亚专业的研究结果相似。解决这种分布不均问题需要共同努力扩大公共部门的专科职位，并在就未来劳动力分配提出建议之前，量化私营和公共部门的骨科疾病负担。
IV。
