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格鲁吉亚全国结核医生劳动力调查。

A survey of the tuberculosis physician workforce in the country of Georgia.

机构信息

Department of Medicine and Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, Georgia.

Division of Infectious Diseases, New York University School of Medicine, New York, New York, USA.

出版信息

Int J Tuberc Lung Dis. 2018 Nov 1;22(11):1286-1292. doi: 10.5588/ijtld.18.0085.

Abstract

SETTING

A well-trained and sufficient tuberculosis (TB) workforce is essential for disease control, especially in an era of newly implemented diagnostics and medications. However, there are few reports on the status of the TB workforce in many endemic countries.

OBJECTIVE

To evaluate the demographics, salary, career satisfaction, and attitudes towards the field of TB among the physician TB workforce in the country of Georgia.

DESIGN

A cross-sectional study of physicians in the current Georgian National TB Programme (NTP) using an anonymous 31-item questionnaire.

RESULTS

Among 184 NTP physicians countrywide, 142 (77%) were contacted and 138 (75%) completed questionnaires. The median age was 56 years (interquartile range 50-64); most (81%) were female. The monthly salary from TB work was USD205 for 50% of respondents. Nearly half (47%) received an additional salary from another source. Many physicians (65%) indicated that they were satisfied with their work, but over half (55%) were unsatisfied with reimbursement. While most physicians (78%) were concerned about the lack of interest in TB, only 36% would recommend a career in TB care.

CONCLUSION

While the current TB workforce in Georgia finds their work fulfilling, an ageing workforce, low salaries and perceived lack of interest in the field are a matter of concern for future TB control.

摘要

背景

拥有一支训练有素且充足的结核病(TB)工作人员队伍对于疾病控制至关重要,尤其是在新实施诊断和药物治疗的时代。然而,许多流行国家的 TB 工作人员队伍状况鲜有报道。

目的

评估格鲁吉亚国家结核病规划(NTP)中医生 TB 工作人员的人口统计学特征、薪酬、职业满意度以及对 TB 领域的态度。

设计

采用匿名的 31 项问卷对当前格鲁吉亚国家结核病规划中的医生进行横断面研究。

结果

在全国范围内的 184 名 NTP 医生中,有 142 名(77%)被联系到,其中 138 名(75%)完成了问卷。中位年龄为 56 岁(四分位距 50-64);大多数(81%)为女性。50%的受访者每月从结核病工作中获得 205 美元的薪酬。近一半(47%)的人从其他来源获得额外薪酬。许多医生(65%)表示对工作满意,但超过一半(55%)对报销不满意。虽然大多数医生(78%)担心对结核病缺乏兴趣,但只有 36%的人会推荐从事结核病护理工作。

结论

尽管格鲁吉亚目前的 TB 工作人员对其工作感到满意,但工作人员老龄化、低薪酬和对该领域缺乏兴趣的看法令人担忧,这将对未来的 TB 控制工作产生影响。

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