Center for Sustainable Development Objectives, Universidad de Los Andes, Bogotá, Colombia.
Facultad de Medicina, Fundación Universitaria Sanitas, Bogotá, Colombia.
Eur J Trauma Emerg Surg. 2022 Apr;48(2):1159-1165. doi: 10.1007/s00068-021-01690-4. Epub 2021 May 7.
General surgeons, anesthesiologists, obstetricians and gynecologists (ob-gyns), and orthopedic surgeons are the vital disciplines to provide emergency surgery within a healthcare system. This paper aims to examine the relationship (if any) between multidimensional poverty (MDP) and GDP per-capita with the emergency surgery workforce density in Colombia.
We performed an ecological study, where the observation units were the 32 Colombian departments. The total numbers of general surgeons, anesthesiologists, ob-gyns, and orthopedic surgeons were obtained from the "Registro Unico Nacional de Talento Humano en Salud" (ReTHUS) registry. The 2020 population projections, the incidence of MDP and the GDP per capita were obtained from the Colombian National Administrative Department of Statistics. A spearman's correlation coefficient was calculated to measure the strength of the correlations between the surgical workforce density with MDP and GDP per-capita.
There were significant moderate inverse linear correlations between the incidence of multidimensional poverty and workforce density. The correlation coefficients for the incidence of multidimensional poverty and the workforce density were - 0.5273, - 0.5620, - 0.4704, and - 0.4612 for surgeons, anesthesiologists, ob-gyns, and orthopedic surgeons, respectively. Conversely, the correlation coefficients for the GDP per-capita and the workforce density were 0.4045, 0.3822, 0.4404, and 0.3742 for surgeons, anesthesiologists, ob-gyns, and orthopedic surgeons, respectively.
This study found that Colombian trauma and emergency surgery workforce density was inversely and directly correlated with multidimensional poverty and GDP per-capita levels, respectively. The relationship of these economic indicators with the surgical capacity deserves further investigation.
普通外科医生、麻醉师、妇产科医生和骨科医生是医疗系统内提供急诊手术的重要学科。本文旨在研究多维贫困（MDP）和人均 GDP 与哥伦比亚急诊手术人力密度之间的关系。
我们进行了一项生态学研究，观察单位是哥伦比亚的 32 个地区。普通外科医生、麻醉师、妇产科医生和骨科医生的总数来自“Registro Unico Nacional de Talento Humano en Salud”（ReTHUS）登记处。2020 年的人口预测、MDP 的发生率和人均 GDP 来自哥伦比亚国家行政统计局。使用 Spearman 相关系数来衡量手术人力密度与 MDP 和人均 GDP 之间的相关性强度。
MDP 的发生率与劳动力密度之间存在显著的中度负线性相关。MDP 的发生率与外科医生、麻醉师、妇产科医生和骨科医生的劳动力密度之间的相关系数分别为-0.5273、-0.5620、-0.4704 和-0.4612。相反，人均 GDP 与劳动力密度之间的相关系数分别为 0.4045、0.3822、0.4404 和 0.3742。
本研究发现，哥伦比亚创伤和急诊手术人力密度与多维贫困和人均 GDP 水平呈负相关和直接相关。这些经济指标与手术能力的关系值得进一步研究。
