Abstract
Introduction: Surgical pathologies account for 28-32% of the global disease burden, however human resource in surgery (surgical workforce) is still not good enough. The study aimed to describe the current situation and the need of specialist surgeons for working in provincial and district hospitals by representation of ecological regions (ecoregions).
Patients and methods: A cross-sectional study has conducted in 7 provinces/cities with 27 hospitals.
Results: The current number of surgeons was mostly distributed for the Coastal and Southern Central regions accounted for 23.3%; in Red River Delta was 22.3%. The need for surgeons for the Central Coast and South-Central region (30.6%) was the highest, but its lowest in the Central Highlands region for 2025. The distribution of surgical workforce according to the hospital classification categories showed that the surgeons commonly work in provincial level (81.1%). The need for surgeons for provincial hospitals was the highest as 78.4%.
Conclusion: The distribution of surgical workforce was unbalanced among ecoregions, especially there was a shortage of specialist surgeons such as neurosurgeons, cardiovascular and pediatric surgeons. It is recommended to support in-depth training in professional knowledge and skills and prioritize short-term, more practical types.
Keywords: Human resource situation, human resource needs, demand for doctors, surgeons
References
- UN News. Global population to pass 10 billion by 2100, UN projections indicate. UN News. Published May 3, 2011. Accessed October 10, 2022. https://news.un.org/en/story/2011/05/373812
- Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health. 2015;3:S8-S9. doi:10.1016/S2214-109X(14)70384-5
- Rose J, Weiser TG, Hider P, Wilson L, Gruen R, Bickler SW. Estimated need for surgery worldwide based on prevalence of diseases: implications for public health planning of surgical services. Lancet Glob Health. 2015;3(Suppl 2):S13-S20. doi:10.1016/S2214-109X(15)70087-2
- World Bank. The business of health in Africa: partnering with the private sector to improve peoples lives. World Bank. Published 2011. Accessed October 10, 2022. https://documents.worldbank.org/en/publication/documents-reports/documentdetail/878891468002994639/The-business-of-health-in-Africa-partnering-with-the-private-sector-to-improve-peoples-lives
- Taylor RH, Hollaar G. Review of a Canadian forum on international surgery: the Bethune Round Table. Can J Surg. 2005;48(6):479-484.
- Portal of Ministry of Health. Medical Statistic. Accessed October 10, 2022. https://moh.gov.vn/thong-ke-y-te
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Tóm tắt
Đặt vấn đề: Bệnh lý ngoại khoa chiếm tới 28-32% gánh nặng bệnh tật toàn cầu nhưng nhân lực về ngoại khoa vẫn chưa đáp ứng được. Nghiên cứu nhằm mô tả thực trạng và nhu cầu bác sĩ chuyên khoa ngoại làm việc tại bệnh viện tuyến tỉnh, huyện ở các vùng sinh thái đại diện.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang tại 7 tỉnh/thành phố gồm 27 bệnh viện.
Kết quả: Thực trạng nhân lực bác sĩ chuyên ngành ngoại khoa theo vùng sinh thái phần lớn từ vùng Duyên Hải & Nam Trung Bộ (23,3%); Đồng bằng sông Hồng (22,3%). Nhu cầu nhân lực khu vực Duyên Hải và Nam Trung Bộ (30,6%) là nhiều nhất, khu vực Tây Nguyên là ít nhất tính đến 2025. Thực trạng nhân lực theo tuyến cho thấy phần lớn là nhân lực từ tuyến tỉnh (81,1%). Bệnh viện tuyến tỉnh có nhu cầu về nhân lực cao nhất (78,4%).
Kết luận: Nhân lực chuyên ngành ngoại khoa số lượng chưa đồng đều giữa các khu vực, đặc biệt thiếu các chuyên khoa sâu như ngoại khoa sọ não, thần kinh, tim mạch, nhi. Đề xuất cần hỗ trợ đào tạo chuyên sâu về kiến thức và kỹ năng chuyên môn và ưu tiên loại hình ngắn hạn, thực hành nhiều hơn.
Từ khóa: thực trạng nhân lực, nhu cầu nhân lực, nhu cầu bác sĩ, chuyên khoa ngoại
Tài liệu tham khảo
- UN NEWs. Global population to pass 10 billion by 2100, UN projections indicate. UN News. Published May 3, 2011. Accessed October 10, 2022. https://news.un.org/en/story/2011/05/373812
- Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health. 2015;3:S8-S9. doi:10.1016/S2214-109X(14)70384-5
- The Accreditation Council for Graduate Medical Education. The Accreditation Council for Graduate Medical Education (ACGME). https://www.acgme.org/about-us/overview/. Published 2022. Accessed July 28, 2022.
- Education TAC for GM. Surgery: Program Requirements and FAQs. https://www.acgme.org/Specialties/Surgery/Program-Requirements-and-FAQs-and-Applications. Published 2022. Accessed July 28, 2022.
- Rose J, Weiser TG, Hider P, Wilson L, Gruen R, Bickler SW. Estimated need for surgery worldwide based on prevalence of diseases: implications for public health planning of surgical services. Lancet Glob Health. 2015;3(Suppl 2):S13-S20. doi:10.1016/S2214-109X(15)70087-2
- World Bank. The business of health in Africa#: partnering with the private sector to improve peoples lives. World Bank. Published 2011. Accessed October 10, 2022. https://documents.worldbank.org/en/publication/documents-reports/documentdetail/878891468002994639/The-business-of-health-in-Africa-partnering-with-the-private-sector-to-improve-peoples-lives
- Taylor RH, Hollaar G. Review of a Canadian forum on international surgery: the Bethune Round Table. Can J Surg. 2005;48(6):479-484.
- Cổng thông tin Bộ Y tế. Thống kê y tế. Accessed October 10, 2022. https://moh.gov.vn/thong-ke-y-te