150 lines
5.1 KiB
YAML
150 lines
5.1 KiB
YAML
abstract: 'Amidst the rising tide of chronic kidney disease (CKD) burden, the
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global nephrology workforce has failed to expand in order to meet the
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growing healthcare needs of this vulnerable patient population. In
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truth, this shortage of nephrologists is seen in many parts of the
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world, including North America, Europe, Australia, New Zealand, Asia and
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the African continent. Moreover, expert groups on workforce planning as
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well as national and international professional organizations predict
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further reductions in the nephrology workforce over the next decade,
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with potentially serious implications. Although the full impact of this
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has not been clearly articulated, what is clear is that the delivery of
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care to patients with CKD may be threatened in many parts of the world
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unless effective country-specific workforce strategies are put in place
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and implemented. Multiple factors are responsible for this apparent
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shortage in the nephrology workforce and the underpinning reasons may
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vary across health systems and countries. Potential contributors include
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the increasing burden of CKD, aging workforce, declining interest in
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nephrology among trainees, lack of exposure to nephrology among students
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and residents, rising cost of medical education and specialist training,
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increasing cultural and ethnic disparities between patients and care
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providers, increasing reliance on foreign medical graduates, inflexible
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work schedules, erosion of nephrology practice scope by other
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specialists, inadequate training, reduced focus on scholarship and
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research funds, increased demand to meet quality of care standards and
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the development of new care delivery models. It is apparent from this
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list that the solution is not simple and that a comprehensive evaluation
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is required. Consequently, there is an urgent need for all countries to
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develop a policy framework for the provision of kidney disease services
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within their health systems, a framework that is based on accurate
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projections of disease burden, a full understanding of the internal care
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delivery systems and a framework that is underpinned by robust health
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intelligence on current and expected workforce numbers required to
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support the delivery of kidney disease care. Given the expected
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increases in global disease burden and the equally important increase in
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many established kidney disease risk factors such as diabetes and
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hypertension, the organization of delivery and sustainability of kidney
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disease care should be enshrined in governmental policy and legislation.
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Effective nephrology workforce planning should be comprehensive and
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detailed, taking into consideration the structure and organization of
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the health system, existing care delivery models, nephrology workforce
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practices and the size, quality and success of internal nephrology
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training programmes. Effective training programmes at the undergraduate
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and postgraduate levels, adoption of novel recruitment strategies,
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flexible workforce practices, greater ownership of the traditional
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nephrology landscape and enhanced opportunities for research should be
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part of the implementation process. Given that many of the factors that
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impact on workforce capacity are generic across countries, cooperation
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at an international level would be desirable to strengthen efforts in
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workforce planning and ensure sustainable models of healthcare delivery.'
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affiliation: 'Stack, AG (Corresponding Author), Univ Hosp Limerick, Div Nephrol, Dept
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Med, Limerick, Ireland.
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Stack, AG (Corresponding Author), Univ Limerick, Grad Entry Med Sch, Limerick, Ireland.
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Stack, AG (Corresponding Author), Univ Limerick, HRI, Limerick, Ireland.
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Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Hosp Limerick,
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Div Nephrol, Dept Med, Limerick, Ireland.
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Sharif, Muhammad U.; Elsayed, Mohamed E.; Stack, Austin G., Univ Limerick, Grad
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Entry Med Sch, Limerick, Ireland.
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Stack, Austin G., Univ Limerick, HRI, Limerick, Ireland.'
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author: Sharif, Muhammad U. and Elsayed, Mohamed E. and Stack, Austin G.
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author-email: austin.stack@ul.ie
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author_list:
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- family: Sharif
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given: Muhammad U.
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- family: Elsayed
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given: Mohamed E.
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- family: Stack
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given: Austin G.
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da: '2023-09-28'
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doi: 10.1093/ckj/sfv111
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eissn: 1753-0792
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files: []
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issn: 1753-0784
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journal: CLINICAL KIDNEY JOURNAL
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keywords: chronic kidney disease; nephrology workforce; planning; solutions
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keywords-plus: 'CHRONIC KIDNEY-DISEASE; STAGE RENAL-DISEASE; UNITED-STATES;
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TRAINING-PROGRAMS; INTERNAL-MEDICINE; LATIN-AMERICA; PRIMARY-CARE;
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DIALYSIS; PREVALENCE; BURDEN'
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language: English
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month: FEB
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number: '1'
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number-of-cited-references: '107'
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orcid-numbers: Elsayed, Mohamed/0000-0002-0591-8051
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pages: 11-22
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papis_id: 75a5b9492ce41d54b6a4b9b4fd293249
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ref: Sharif2016globalnephrology
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tags:
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- review
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times-cited: '96'
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title: 'The global nephrology workforce: emerging threats and potential solutions!'
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type: Review
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unique-id: WOS:000386128800002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '19'
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volume: '9'
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web-of-science-categories: Urology \& Nephrology
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year: '2016'
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