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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The Global Otolaryngology-Head and Neck Surgery Workforce
JAMA Otolaryngology - Head and Neck Surgery, Volume 149, No. 10, Year 2023
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Description
Importance: A 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. Objective: To establish comprehensive workforce metrics for global otolaryngology-head and neck surgery (OHNS) with updated data from more countries/territories. Design, Setting, and Participants: A 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 Outcome: The OHNS workforce per capita, stratified by income and region. Results: Responses 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 100000 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 100000 population) whereas Africa (0.18 clinicians per 100000 population) and Southeast Asia (1.12 clinicians per 100000 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 Relevance: This 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.. © 2023 American Medical Association. All rights reserved.
Authors & Co-Authors
Petrucci, Beatriz
Brazil, Brasilia
Ministério da Saúde
Okerosi, Samuel N.
Kenya, Nairobi
Kenyatta National Hospital
Patterson, Rolvix H.
United States, Durham
Duke University
Salano, Valerie
Kenya, Nyahururu
Nyahururu County Hospital
Waterworth, Christopher J.
Australia, Melbourne
University of Melbourne
Sprow, Holly N.
United States, Medford
Tufts University
Alkire, Blake Christian
United States, Boston
Massachusetts Eye and Ear
Fagan, Johannes Jacobus
South Africa, Cape Town
University of Cape Town
Ovnat Tamir, Sharon Ovnat
Israel, Beer-sheva
Ben-gurion University of the Negev
Der, Carolina
Chile, Santiago
Clinica Alemana
Bhutta, Mahmood Fazal
United Kingdom, Brighton
Brighton and Sussex Medical School
Daudu, Davina
Australia, Perth
The University of Western Australia
Mukuzi, Allan Gray
Kenya, Nairobi
University of Nairobi
Hao, Sheong Po
Taiwan, Taipei
Shin Kong wu Ho-su Memorial Hospital
Nakku, Doreen
Uganda, Mbarara
Mbarara University of Science and Technology
Seguya, Amina
Uganda, Kamplala
Mulago National Referral Hospital
Din, Taseer Feroze
United States, Palo Alto
Stanford University
Mokoh, Lillian Wairimu
Kenya, Nairobi
Kenyatta University
Jashek-Ahmed, Farizeh
United Kingdom, London
The Royal Marsden Hospital
Law, Tyler J.
United States, San Francisco
University of California, San Francisco
Zemene, Yilkal
Ethiopia, Addis Ababa
St. Paul‘s Hospital Millennium Medical College
Ibekwe, Titus Sunday
Nigeria, Abuja
University of Abuja
Mulwafu, Wakisa K.
Malawi, Blantyre
Kamuzu University of Health Sciences
Fenton, John Eugene
Ireland, Limerick
University of Limerick
Agius, Adrian Mark
Malta, Msida
L-università Ta' Malta
Xu, Mary Jue
United States, San Francisco
University of California, San Francisco
Statistics
Authors: 26
Affiliations: 35
Identifiers
Doi:
10.1001/jamaoto.2023.2339
ISSN:
21686181
Research Areas
Cancer
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative