The Global Otolaryngology–Head and Neck Surgery Workforce-Reference-Cited by-同舟云学术

The Global Otolaryngology–Head and Neck Surgery Workforce

Published:2023-10-01 Issue:10 Volume:149 Page:904
ISSN:2168-6181
Container-title:JAMA Otolaryngology–Head & Neck Surgery
language:en
Short-container-title:JAMA Otolaryngol Head Neck Surg

Author:

Petrucci Beatriz¹,Okerosi Samuel²,Patterson Rolvix H.³,Hobday Sara B.⁴,Salano Valerie⁵,Waterworth Christopher J.⁶,Brody Robert M.⁷,Sprow Holly⁸,Alkire Blake C.⁹,Fagan Johannes J.¹⁰,Tamir Sharon Ovnat¹¹,Der Carolina¹²,Bhutta Mahmood F.¹³,Maina Ivy W.⁷,Pang Jonathan C.¹⁴,Daudu Davina¹⁵,Mukuzi Allan G.¹⁶,Srinivasan Tarika¹⁷,Pietrobon Carolina A.¹⁸,Hao Sheng-Po¹⁹,Nakku Doreen²⁰,Seguya Amina²¹,Din Taseer F.²²,Mbougo Olga Djoutsop²³,Mokoh Lilian W.²⁴,Jashek-Ahmed Farizeh²⁵,Law Tyler J.²⁶,Holt Elizabeth A.²⁷,Bangesh Ali Haider²⁸,Zemene Yilkal²⁹,Ibekwe Titus S.³⁰,Diallo Oumar Raphiou³¹,Alvarado Jaqueline³²,Mulwafu Wakisa K.³³,Fenton John E.³⁴,Agius Adrian M.³⁵,Doležal Pavel³⁶,Mudekereza Édouard Amani³⁷,Mojica Karen M.³⁸,Rueda Ricardo Silva³⁹,Xu Mary Jue²⁶⁴⁰

Affiliation:

1. Unified Health System, Ministry of Health, Brazil

2. Ear Nose and Throat Department, Kenyatta National Hospital, Nairobi, Kenya

3. Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina

4. Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia

5. Ear Nose and Throat Department, Nyahururu County Hospital, Nyahururu, Kenya

6. Nossal Institute for Global Health, Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Victoria, Australia

7. Department of Otorhinolaryngology–Head & Neck Surgery, University of Pennsylvania, Philadelphia

8. Tufts University School of Medicine, Boston, Massachusetts

9. Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston

10. Division of Otolaryngology, University of Cape Town, Cape Town, South Africa

11. Department of Otolaryngology/Head and Neck Surgery, Samson Assuta Ashdod University Hospital, Ben Gurion University of the Negev, Israel

12. Universidad del Desarrollo, Facultad de Medicina, Clínica Alemana de Santiago, Hospital Dr Luis Calvo Mackenna, Chile

13. Brighton & Sussex Medical School, Brighton, United Kingdom

14. Department of Otolaryngology–Head and Neck Surgery, University of California, Irvine

15. Faculty of Surgery, University of Western Australia, Perth, Western Australia, Australia

16. Department of Otorhinolaryngology Head and Neck Surgery, University of Nairobi, Kenya

17. Medical student, Harvard Medical School, Boston, Massachusetts

18. Universidade do Vale do Taquari, Brazil

19. Department of Otolaryngology Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Fu-Jen University, Taiwan

20. Department of Otolaryngology Head and Neck Surgery, Mbarara University of Science and Technology, Uganda

21. Department of Otolaryngology Head and Neck Surgery, Mulago National Referral Hospital, Uganda

22. Division of Pediatric Otolaryngology, Head-Neck Surgery, Department of Otolaryngology, Head-Neck Surgery, Stanford University, Stanford, California

23. Bel Campus University of Technology, Kinshasa, Democratic Republic of Congo

24. Kenyatta University Teaching Research and Referral Hospital, Nairobi, Kenya

25. The International Center for Recurrent Head and Neck Cancer, the Royal Marsden Hospital, London, United Kingdom

26. Department of Anesthesia & Perioperative Care, University of California, San Francisco

27. The Eisdell Moore Centre for Hearing and Balance Research, The University of Auckland, Auckland, New Zealand

28. STMU Shifa College of Medicine, Islamabad, Pakistan

29. St Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

30. University of Abuja and University of Abuja Teaching Hospital, Abuja, Nigeria

31. University of Conakry Médical Faculty, Conakry, Guinea

32. Pan-American Otolaryngology Association, Miami, Florida

33. Department of Surgery, Kamuzu University of Health Sciences, Blantyre, Malawi

34. Department of Otorhinlaryngology–Head and Neck Surgery, University of Limerick, Limerick, Ireland

35. Department of Otorhinolaryngology, University of Malta, Malta

36. Department of Otorhinolaryngology and Head and Neck Surgery, Slovak Medical University, Bratislava, Slovakia

37. Hôpital Provincial Général de Référence de Bukavu, Université Catholique de Bukavu, Bukavu, Democratic Republic of the Congo

38. Department of otolaryngology, Vivian Pellas Hospital, Managua, Nicaragua

39. Servicio de Otorrinolaringología, Bogota, Hospital Militar Central, Bogata, Colombia

40. Department of Otolaryngology–Head and Neck Surgery, University of California, San Francisco

Abstract

ImportanceA core component of delivering care of head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment of National Capacity to Provide Hearing Care, captured primary workforce estimates from 68 member states in 2012, noting that response rates were a limitation and that updated more comprehensive data are needed.ObjectiveTo establish comprehensive workforce metrics for global otolaryngology–head and neck surgery (OHNS) with updated data from more countries/territories.Design, Setting, and ParticipantsA cross-sectional electronic survey characterizing the OHNS workforce was disseminated from February 10 to June 22, 2022, to professional society leaders, medical licensing boards, public health officials, and practicing OHNS clinicians.Main OutcomeThe OHNS workforce per capita, stratified by income and region.ResultsResponses were collected from 121 of 195 countries/territories (62%). Survey responses specifically reported on OHNS workforce from 114 countries/territories representing 84% of the world’s population. The global OHNS clinician density was 2.19 (range, 0-61.7) OHNS clinicians per 100 000 population. The OHNS clinician density varied by World Bank income group with higher-income countries associated with a higher density of clinicians. Regionally, Europe had the highest clinician density (5.70 clinicians per 100 000 population) whereas Africa (0.18 clinicians per 100 000 population) and Southeast Asia (1.12 clinicians per 100 000 population) had the lowest. The OHNS clinicians deliver most of the surgical management of ear diseases and hearing care, rhinologic and sinus diseases, laryngeal disorders, and upper aerodigestive mucosal cancer globally.Conclusion and RelevanceThis cross-sectional survey study provides a comprehensive assessment of the global OHNS workforce. These results can guide focused investment in training and policy development to address disparities in the availability of OHNS clinicians.

Publisher

American Medical Association (AMA)

Subject

Otorhinolaryngology,Surgery

Link

https://jamanetwork.com/journals/jamaotolaryngology/articlepdf/2808978/jamaotolaryngology_petrucci_2023_oi_230053_1696269101.58614.pdf

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