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Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system

dc.contributor.authorOsman, Mohamed A.
dc.contributor.authorAlrukhaimi, Mona
dc.contributor.authorAshuntantang, Gloria E.
dc.contributor.authorBellorin-Font, Ezequiel
dc.contributor.authorGharbi, Mohammed Benghanem
dc.contributor.authorBraam, Branko
dc.contributor.authorCourtney, Mark
dc.contributor.authorFeehally, John
dc.contributor.authorHarris, David C.
dc.contributor.authorJha, Vivekanand
dc.contributor.authorJindal, Kailash
dc.contributor.authorJohnson, David W.
dc.contributor.authorKalantar-Zadeh, Kamyar
dc.contributor.authorKazancioglu, RÜMEYZA
dc.contributor.authorKlarenbach, Scott
dc.contributor.authorLevin, Adeera
dc.contributor.authorLunney, Meaghan
dc.contributor.authorOkpechi, Ikechi G.
dc.contributor.authorOlanrewaju, Timothy Olusegun
dc.contributor.authorPerl, Jeffrey
dc.contributor.authorRashid, Harun Ur
dc.contributor.authorRondeau, Eric
dc.contributor.authorSalako, Babatunde lawal
dc.contributor.authorSamimi, Arian
dc.contributor.authorSola, Laura
dc.contributor.authorTchokhonelidze, Irma
dc.contributor.authorWiebe, Natasha
dc.contributor.authorYang, Chih-Wei
dc.contributor.authorYe, Feng
dc.contributor.authorZemchenkov, Alexander
dc.contributor.authorZhao, Ming-hui
dc.contributor.authorBello, Aminu K.
dc.contributor.institutionauthorKAZANCIOĞLU, RÜMEYZA
dc.date.accessioned2019-10-05T13:29:58Z
dc.date.available2019-10-05T13:29:58Z
dc.date.issued2018-02-01
dc.description.abstractThe health workforce is the cornerstone of any health care system. An adequately trained and sufficiently staffed workforce is essential to reach universal health coverage. In particular, a nephrology workforce is critical to meet the growing worldwide burden of kidney disease. Despite some attempts, the global nephrology workforce and training capacity remains widely unknown. This multinational cross-sectional survey was part of the Global Kidney Health Atlas project, a new initiative administered by the International Society of Nephrology (ISN). The objective of this study was to address the existing global nephrology workforce and training capacity. The questionnaire was administered online, and all data were analyzed and presented by ISN regions and World Bank country classification. Overall, 125 United Nations member states responded to the entire survey, with 121 countries responding to survey questions pertaining to the nephrology workforce. The global nephrologist density was 8.83 per million population (PMP); high-income countries reported a nephrologist density of 28.52 PMP compared with 0.31 PMP in low-income countries. Similarly, the global nephrologist trainee density was 1.87 PMP; high-income countries reported a 30 times greater nephrology trainee density than low-income countries (6.03 PMP vs. 0.18 PMP). Countries reported a shortage in all care providers in nephrology. A nephrology training program existed in 79% of countries, ranging from 97% in high-income countries to 41% in low-income countries. In countries with a training program, the majority (86%) of programs were 2 to 4 years, and the most common training structure (56%) was following general internal medicine. We found significant variation in the global density of nephrologists and nephrology trainees and shortages in all care providers in nephrology; the gap was more prominent in low-income countries, particularly in African and South Asian ISN regions. These findings point to significant gaps in the current nephrology workforce and opportunities for countries and regions to develop and maintain a sustainable workforce.en
dc.identifier10.1159/000333101
dc.identifier.citationOsman M. A. , Alrukhaimi M., Ashuntantang G. E. , Bellorin-Font E., Gharbi M. B. , Braam B., Courtney M., Feehally J., Harris D. C. , Jha V., et al., -Global nephrology workforce: gaps and opportunities toward a sustainable kidney care system-, KIDNEY INTERNATIONAL SUPPLEMENTS, cilt.8, ss.52-63, 2018
dc.identifier.doi10.1016/j.kisu.2017.10.009
dc.identifier.pubmed30675439
dc.identifier.scopus85041697539
dc.identifier.urihttps://hdl.handle.net/20.500.12645/2227
dc.identifier.wosWOS:000435181200004
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleGlobal nephrology workforce: gaps and opportunities toward a sustainable kidney care system
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameOphthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
local.avesis.id35f1b3d0-1e42-4b7b-a9bb-24d1bebcbafe
local.avesis.response2097
local.org.facultyTıp Fakültesi
local.publication.goal17 - Amaçlar için Ortaklıklar
local.publication.isinternational1
relation.isAuthorOfPublicationeca7bd30-6b6e-444d-96ae-2961c39f2107
relation.isAuthorOfPublication.latestForDiscoveryeca7bd30-6b6e-444d-96ae-2961c39f2107
relation.isGoalOfPublication8c8b4b3f-30c0-45a7-9c25-0d25302d37ca
relation.isGoalOfPublication.latestForDiscovery8c8b4b3f-30c0-45a7-9c25-0d25302d37ca
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