Wilmshurst Jo M, Catsman-Berrevoets Coriene, Gilbert Donald L, Nagarajan Lakshmi, Samia Pauline, Serdaroglu Esra, Triki Chahnez, Vidaurre Jorge, Hameed Biju
From the Department of Paediatric Neurology (J.M.W.), Red Cross War Memorial Children's Hospital, Neuroscience Institute, University of Cape Town, South Africa; Department of Paediatric Neurology (C.C.-B.), ErasmusMC / Sophia Childrens Hospital, Rotterdam, the Netherlands; Division of Neurology (D.L.G.), Cincinnati Children's Hospital Medical Center; Department of Pediatrics, University of Cincinnati College of Medicine, OH; Department of Neurology (L.N.), Perth Children's Hospital; Faculty of Health and Medical Sciences, UWA; Telethon Kids Institute, Perth, Australia; Department of Paediatrics and Child Health (P.S.), Medical College, Aga Khan University, Nairobi, Kenya; Department of Child Neurology (E.S.), Gazi University School of Medicine, Ankara, Turkey; Child Neurology Department (C.T.), Hedi Chaker Hospital, University of Sfax, Tunisia; Pediatric Clinical Neurophysiology Fellowship (J.V.), Nationwide Children's Hospital, The Ohio State University; and Department of Paediatric Neurology and Neurodisability (B.H.), Great Ormond Street Hospital for Children, London.
Neurology. 2023 Oct 31;101(18):798-808. doi: 10.1212/WNL.0000000000207633. Epub 2023 Jul 25.
Pediatric neurology is the medical subspecialty responsible for diagnosing and managing diseases and disorders of the nervous system in childhood and adolescence. In many, but not all, regions of the world, the discipline of pediatric neurology is recognized as a specialty or subspecialty of either neurology or pediatrics. Significant knowledge and competencies in this area are necessary to be effective in clinical practice. The need for this is driven by the high burden of disease from neurologic conditions in children and the effect on their families. As the first part of a multistaged project under the auspices of the International Child Neurology Association, in collaboration with key stakeholders, a survey was undertaken to establish which countries have practicing child neurologists. For those countries that have child neurologists, the survey established the number of practitioners and which countries have access to in-country child neurology training. Responses were obtained from 177 countries. Worldwide, there is a median of 0.07 and mean of 0.39 child neurologists per 100,000 population. The greatest deficits in child neurology specialists and access to training were evident in countries which fell under the World Bank rating of low-income country status (range of 0-0.008 child neurologists per 100,000 population). Seventy-three percent of low-income countries lack access to child neurologists: The majority are in the African and South-East Asia regions. For the population of 1.37 billion in the continent of Africa, there were 324 child neurologists, equating to a median of 0.01 per 100,000 population in comparison with a median of 0.59 child neurologists per 100,000 across high-income countries. Ninety-four countries had capacity to support in-country pediatric neurology training. Worldwide, there are inadequate numbers of child neurologists and a great need for increased training capacity.
儿科神经病学是负责诊断和管理儿童及青少年神经系统疾病和障碍的医学亚专业。在世界上许多（但并非所有）地区，儿科神经病学学科被视为神经病学或儿科学的专业或亚专业。要在临床实践中取得成效，必须具备该领域的重要知识和能力。儿童神经系统疾病造成的高疾病负担及其对家庭的影响推动了这一需求。作为在国际儿童神经病学协会主持下、与主要利益相关者合作开展的一个多阶段项目的第一部分，进行了一项调查，以确定哪些国家有执业儿童神经科医生。对于有儿童神经科医生的国家，该调查确定了从业者的数量以及哪些国家能够提供国内儿童神经病学培训。共收到来自177个国家的回复。在全球范围内，每10万人口中儿童神经科医生的中位数为0.07，平均数为0.39。在世界银行评级为低收入国家的那些国家，儿童神经科专家和培训机会方面的短缺最为明显（每10万人口中儿童神经科医生的数量在0至0.008之间）。73%的低收入国家无法获得儿童神经科医生的服务：大多数位于非洲和东南亚地区。在非洲大陆13.7亿人口中，有324名儿童神经科医生，每10万人口的中位数为0.01，而高收入国家每10万人口儿童神经科医生的中位数为0.59。94个国家有能力支持国内儿科神经病学培训。全球范围内，儿童神经科医生数量不足，对增加培训能力的需求很大。
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