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

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2023-09-28 14:46:10 +00:00
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!'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
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'