Where are the paediatricians? An international survey to understand the global paediatric workforce

BMJ Paediatrics Open
Beth D HarperChristiana M Russ

Abstract

Our primary objective was to examine the global paediatric workforce and to better understand geographic differences in the number of paediatricians globally. Secondary objectives were to describe paediatric workforce expectations, who provides children with preventative care and when children transition out of paediatric care. Survey of identified paediatric leaders in each country. Paediatric association leaders worldwide. Paediatrician numbers, provision of primary care for children, age of transition to adult care. Responses were obtained from 121 countries (73% of countries approached). The number of paediatricians per 100 000 children ranged from a median of 0.5 (IQR 0.3-1.4) in low-income countries to 72 (IQR 4-118) in high-income countries. Africa and South-East Asia reported the lowest paediatrician density (median of 0.8 paediatricians per 100 000 children, IQR 0.4-2.6 and median of 4, IQR 3-9, respectively) and fewest paediatricians entering the workforce. 82% of countries reported transition to adult care by age 18% and 39% by age 15. Most countries (91%) but only 64% of low-income countries reported provision of paediatric preventative care (p<0.001, Cochran-Armitage trend test). Systems of primary care provision v...Continue Reading

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Jul 16, 2020·Pediatric Rheumatology Online Journal·Helen E FosterMatthew B Dobbs
Feb 9, 2020·International Journal of Environmental Research and Public Health·Sue WoolfendenIlisapeci Tuibeqa
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May 18, 2021·Current Tropical Medicine Reports·Anthony J Garcia-PratsHeather Haq
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Oct 22, 2021·Frontiers in Public Health·Fang HuYifei Hu
Dec 4, 2021·Pediatric Rheumatology Online Journal·Sulaiman M Al-MayoufNouran Tahoun
Jun 30, 2019·Pediatrics·Christiana M Russ, Errol Alden

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