wow-inequalities/02-data/intermediate/wos_sample/d17707b263fbddeabbe4ffae3415a402-sharif-muhammad-u./info.yaml

abstract: 'Amidst the rising tide of chronic kidney disease (CKD) burden, the

  global nephrology workforce has failed to expand in order to meet the

  growing healthcare needs of this vulnerable patient population. In

  truth, this shortage of nephrologists is seen in many parts of the

  world, including North America, Europe, Australia, New Zealand, Asia and

  the African continent. Moreover, expert groups on workforce planning as

  well as national and international professional organizations predict

  further reductions in the nephrology workforce over the next decade,

  with potentially serious implications. Although the full impact of this

  has not been clearly articulated, what is clear is that the delivery of

  care to patients with CKD may be threatened in many parts of the world

  unless effective country-specific workforce strategies are put in place

  and implemented. Multiple factors are responsible for this apparent

  shortage in the nephrology workforce and the underpinning reasons may

  vary across health systems and countries. Potential contributors include

  the increasing burden of CKD, aging workforce, declining interest in

  nephrology among trainees, lack of exposure to nephrology among students

  and residents, rising cost of medical education and specialist training,

  increasing cultural and ethnic disparities between patients and care

  providers, increasing reliance on foreign medical graduates, inflexible

  work schedules, erosion of nephrology practice scope by other

  specialists, inadequate training, reduced focus on scholarship and

  research funds, increased demand to meet quality of care standards and

  the development of new care delivery models. It is apparent from this

  list that the solution is not simple and that a comprehensive evaluation

  is required. Consequently, there is an urgent need for all countries to

  develop a policy framework for the provision of kidney disease services

  within their health systems, a framework that is based on accurate

  projections of disease burden, a full understanding of the internal care

  delivery systems and a framework that is underpinned by robust health

  intelligence on current and expected workforce numbers required to

  support the delivery of kidney disease care. Given the expected

  increases in global disease burden and the equally important increase in

  many established kidney disease risk factors such as diabetes and

  hypertension, the organization of delivery and sustainability of kidney

  disease care should be enshrined in governmental policy and legislation.

  Effective nephrology workforce planning should be comprehensive and

  detailed, taking into consideration the structure and organization of

  the health system, existing care delivery models, nephrology workforce

  practices and the size, quality and success of internal nephrology

  training programmes. Effective training programmes at the undergraduate

  and postgraduate levels, adoption of novel recruitment strategies,

  flexible workforce practices, greater ownership of the traditional

  nephrology landscape and enhanced opportunities for research should be

  part of the implementation process. Given that many of the factors that

  impact on workforce capacity are generic across countries, cooperation

  at an international level would be desirable to strengthen efforts in

  workforce planning and ensure sustainable models of healthcare delivery.'
affiliation: 'Stack, AG (Corresponding Author), Univ Hosp Limerick, Div Nephrol, Dept
  Med, Limerick, Ireland.

  Stack, AG (Corresponding Author), Univ Limerick, Grad Entry Med Sch, Limerick, Ireland.

  Stack, AG (Corresponding Author), Univ Limerick, HRI, Limerick, Ireland.

  Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Hosp Limerick,
  Div Nephrol, Dept Med, Limerick, Ireland.

  Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Limerick, Grad
  Entry Med Sch, Limerick, Ireland.

  Stack, Austin G., Univ Limerick, HRI, Limerick, Ireland.'
author: Sharif, Muhammad U. and Elsayed, Mohamed E. and Stack, Austin G.
author-email: austin.stack@ul.ie
author_list:
- family: Sharif
  given: Muhammad U.
- family: Elsayed
  given: Mohamed E.
- family: Stack
  given: Austin G.
da: '2023-09-28'
doi: 10.1093/ckj/sfv111
eissn: 1753-0792
files: []
issn: 1753-0784
journal: CLINICAL KIDNEY JOURNAL
keywords: chronic kidney disease; nephrology workforce; planning; solutions
keywords-plus: 'CHRONIC KIDNEY-DISEASE; STAGE RENAL-DISEASE; UNITED-STATES;

  TRAINING-PROGRAMS; INTERNAL-MEDICINE; LATIN-AMERICA; PRIMARY-CARE;

  DIALYSIS; PREVALENCE; BURDEN'
language: English
month: FEB
number: '1'
number-of-cited-references: '107'
orcid-numbers: Elsayed, Mohamed/0000-0002-0591-8051
pages: 11-22
papis_id: 75a5b9492ce41d54b6a4b9b4fd293249
ref: Sharif2016globalnephrology
tags:
- review
times-cited: '96'
title: 'The global nephrology workforce: emerging threats and potential solutions!'
type: article
unique-id: WOS:000386128800002
usage-count-last-180-days: '0'
usage-count-since-2013: '19'
volume: '9'
web-of-science-categories: Urology \& Nephrology
year: '2016'