LARS study: Latin American rheumatologist survey.

Szczegóły
Abstrakt

Tytuł:: LARS study: Latin American rheumatologist survey.
Autorzy:: Intriago M; Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador.
Maldonado G; Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador. .
Guerrero R; Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador.
Soriano E; Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Moreno L; Centro de Reumatología y Rehabilitación, Guayaquil, Ecuador.
Rios C; Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador.
Źródło:: Clinical rheumatology [Clin Rheumatol] 2021 Jan; Vol. 40 (1), pp. 377-387. Date of Electronic Publication: 2020 Jun 22.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: <2008->: Heidelberg : Springer
Original Publication: Brussels : Acta Medica Belgica, [1982-
MeSH Terms:: Rheumatic Diseases*/epidemiology
Rheumatology*
Adult ; Child ; Cross-Sectional Studies ; Female ; Humans ; Latin America ; Male ; Middle Aged ; Rheumatologists
References:: Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, AlMazroa MA, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez MG, Baxter A, Bell ML, Benjamin EJ, Bennett D, Bernabé E, Bhalla K, Bhandari B, Bikbov B, Abdulhak AB, Birbeck G, Black JA, Blencowe H, Blore JD, Blyth F, Bolliger I, Bonaventure A, Boufous S, Bourne R, Boussinesq M, Braithwaite T, Brayne C, Bridgett L, Brooker S, Brooks P, Brugha TS, Bryan-Hancock C, Bucello C, Buchbinder R, Buckle G, Budke CM, Burch M, Burney P, Burstein R, Calabria B, Campbell B, Canter CE, Carabin H, Carapetis J, Carmona L, Cella C, Charlson F, Chen H, Cheng ATA, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahiya M, Dahodwala N, Damsere-Derry J, Danaei G, Davis A, de Leo D, Degenhardt L, Dellavalle R, Delossantos A, Denenberg J, Derrett S, Des Jarlais DC, Dharmaratne SD, Dherani M, Diaz-Torne C, Dolk H, Dorsey ER, Driscoll T, Duber H, Ebel B, Edmond K, Elbaz A, Ali SE, Erskine H, Erwin PJ, Espindola P, Ewoigbokhan SE, Farzadfar F, Feigin V, Felson DT, Ferrari A, Ferri CP, Fèvre EM, Finucane MM, Flaxman S, Flood L, Foreman K, Forouzanfar MH, Fowkes FGR, Franklin R, Fransen M, Freeman MK, Gabbe BJ, Gabriel SE, Gakidou E, Ganatra HA, Garcia B, Gaspari F, Gillum RF, Gmel G, Gosselin R, Grainger R, Groeger J, Guillemin F, Gunnell D, Gupta R, Haagsma J, Hagan H, Halasa YA, Hall W, Haring D, Haro JM, Harrison JE, Havmoeller R, Hay RJ, Higashi H, Hill C, Hoen B, Hoffman H, Hotez PJ, Hoy D, Huang JJ, Ibeanusi SE, Jacobsen KH, James SL, Jarvis D, Jasrasaria R, Jayaraman S, Johns N, Jonas JB, Karthikeyan G, Kassebaum N, Kawakami N, Keren A, Khoo JP, King CH, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lalloo R, Laslett LL, Lathlean T, Leasher JL, Lee YY, Leigh J, Lim SS, Limb E, Lin JK, Lipnick M, Lipshultz SE, Liu W, Loane M, Ohno SL, Lyons R, Ma J, Mabweijano J, MacIntyre MF, Malekzadeh R, Mallinger L, Manivannan S, Marcenes W, March L, Margolis DJ, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGill N, McGrath J, Medina-Mora ME, Meltzer M, Memish ZA, Mensah GA, Merriman TR, Meyer AC, Miglioli V, Miller M, Miller TR, Mitchell PB, Mocumbi AO, Moffitt TE, Mokdad AA, Monasta L, Montico M, Moradi-Lakeh M, Moran A, Morawska L, Mori R, Murdoch ME, Mwaniki MK, Naidoo K, Nair MN, Naldi L, Narayan KMV, Nelson PK, Nelson RG, Nevitt MC, Newton CR, Nolte S, Norman P, Norman R, O'Donnell M, O'Hanlon S, Olives C, Omer SB, Ortblad K, Osborne R, Ozgediz D, Page A, Pahari B, Pandian JD, Rivero AP, Patten SB, Pearce N, Padilla RP, Perez-Ruiz F, Perico N, Pesudovs K, Phillips D, Phillips MR, Pierce K, Pion S, Polanczyk GV, Polinder S, Pope CA III, Popova S, Porrini E, Pourmalek F, Prince M, Pullan RL, Ramaiah KD, Ranganathan D, Razavi H, Regan M, Rehm JT, Rein DB, Remuzzi G, Richardson K, Rivara FP, Roberts T, Robinson C, de Leòn FR, Ronfani L, Room R, Rosenfeld LC, Rushton L, Sacco RL, Saha S, Sampson U, Sanchez-Riera L, Sanman E, Schwebel DC, Scott JG, Segui-Gomez M, Shahraz S, Shepard DS, Shin H, Shivakoti R, Silberberg D, Singh D, Singh GM, Singh JA, Singleton J, Sleet DA, Sliwa K, Smith E, Smith JL, Stapelberg NJC, Steer A, Steiner T, Stolk WA, Stovner LJ, Sudfeld C, Syed S, Tamburlini G, Tavakkoli M, Taylor HR, Taylor JA, Taylor WJ, Thomas B, Thomson WM, Thurston GD, Tleyjeh IM, Tonelli M, Towbin JA, Truelsen T, Tsilimbaris MK, Ubeda C, Undurraga EA, van der Werf MJ, van Os J, Vavilala MS, Venketasubramanian N, Wang M, Wang W, Watt K, Weatherall DJ, Weinstock MA, Weintraub R, Weisskopf MG, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams SRM, Witt E, Wolfe F, Woolf AD, Wulf S, Yeh PH, Zaidi AKM, Zheng ZJ, Zonies D, Lopez AD, Murray CJL (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380(9859):2163–2196. (PMID: 10.1016/S0140-6736(12)61729-2)
Peláez-Ballestas I, Granados Y, Quintana R, Loyola-Sánchez A, Julián-Santiago F, Rosillo C, Gastelum-Strozzi A, Alvarez-Nemegyei J, Santana N, Silvestre A, Pacheco-Tena C, Goñi M, García-García C, Cedeño L, Pons-Éstel BA, Latin American Study Group of Rheumatic Diseases in Indigenous Peoples (GLADERPO) (2018) Epidemiology and socioeconomic impact of the rheumatic diseases on indigenous people: an invisible syndemic public health problem. Ann Rheum Dis 77:1–8. https://doi.org/10.1136/annrheumdis-2018-213625. (PMID: 10.1136/annrheumdis-2018-213625)
Cardiel MH, Rojas-Serrano J (2002) Community based study to estimate prevalence, burden of illness and help seeking behavior in rheumatic diseases in Mexico City. A COPCORD study. Clin Exp Rheumatol 20(5):617–624. (PMID: 12412191)
Senna ER, De Barros AL, Silva EO, Costa IF, Pereira LV, Ciconelli RM, Ferraz MB (2004) Prevalence of rheumatic diseases in Brazil: a study using the COPCORD approach. J Rheumatol 31(3):594–597. (PMID: 14994410)
Reyes-Llerena GA, Guibert-Toledano M, Penedo-Coello A, Pérez-Rodríguez A, Baez-Dueñas RM, Charnicharo-Vidal R, Cardiel MH (2009) Community-based study to estimate prevalence and burden of illness of rheumatic diseases in Cuba: a COPCORD study. J Clin Rheumatol 15(2):51–55. https://doi.org/10.1097/RHU.0b013e31819b61cb. (PMID: 10.1097/RHU.0b013e31819b61cb19265344)
Peláez-Ballestas I, Pons-Estel BA, Burgos-Vargas R (2016) Epidemiology of rheumatic diseases in indigenous populations in Latin-Americans. Clin Rheumatol 35(Suppl 1):1–3. https://doi.org/10.1007/s10067-016-3298-6. (PMID: 10.1007/s10067-016-3298-6271775404954829)
Amor B (2000) What competence does a rheumatologist need?: an international perspective. Ann Rheum Dis 59(8):580–582. (PMID: 10.1136/ard.59.8.580)
Organización Panamericana de la Salud (2011) Residencias médicas en América Latina [Internet]. [cited 2019 Sep 9]. Available from: https://www.paho.org/hq/dmdocuments/2012/HRS-SerieAPSNo5-Residencias.pdf.
Reveille JD, Muñoz R, Soriano E, Albanese M, Espada G, Lozada CJ, Montúfar RA, Neubarth F, Vasquez GM, Zummer M, Sheen R, Caballero-Uribe CV, Pineda C (2016) Review of current workforce for rheumatology in the countries of the Americas 2012–2015. J Clin Rheumatol 22(8):405–410. (PMID: 10.1097/RHU.0000000000000465)
de Albuquerque CP (2014) Inequality in the distribution of rheumatologists in Brazil: correlation with local of medical residency, Gross Domestic Product and Human Development Index. Rev Bras Reumatol 54(3):166–171. (PMID: 10.1016/j.rbr.2013.08.003)
Hogan P, Bouchery E (2005) Workforce study of rheumatologists: final report. Prepared by Lewin Group, May 2006. [internet]. American College of Rheumatology. 2006 [cited 2019 Sep 9]. Available from: https://www.rheumatology.org/Portals/0/Files/Lewin Study Overview.pdf.
Patwardhan A, Henrickson M, Laskosz L, Duyenhong S, Spencer C (2014) Current pediatric rheumatology fellowship training in the United States: what fellows actually do. Pediatr Rheumatol Online J 12(8):12–18.
Kur J, Koehler B (2011) Rheumatologist demographics in British Columbia: a looming crisis. BC Med J 53(3):12–131.
Barber C (2017) Stand up and be counted: measuring and mapping the rheumatology workforce in Canada. J Rheumatol 44(2):248–257. (PMID: 10.3899/jrheum.160621)
Rocha FA (2017) Latin-American challenges and opportunities in rheumatology. Arthritis Res Ther 19(1):29. (PMID: 10.1186/s13075-017-1247-7)
Cutolo M, Smith V, Sulli A (2012) Training in capillaroscopy: a growing interest. J Rheumatol 39(6):1113–1116. (PMID: 10.3899/jrheum.120082)
Amer H, Swan A, Dieppe P (2001) The utilization of synovial fluid analysis in the UK. Rheumatology (Oxford) 40(9):1060–1063. (PMID: 10.1093/rheumatology/40.9.1060)
Rentsch JR, Steel RP (1992) Construct and concurrent validation of the Andrews and Withey Job Satisfaction Questionnaire. Educ Psychol Meas 52:357–367. (PMID: 10.1177/0013164492052002011)
Lloyd S, Streiner D, Hahn E, Shannon S (1994) Development of the emergency physician job satisfaction measurement instrument. Am J Emerg Med 12:1–10. (PMID: 10.1016/0735-6757(94)90187-2)
Ng SH (1993) A job satisfaction scale for nurses. N Z J Psychol 22:46–53.
Organización Panamericana de la Salud (2006) Migración de recursos humanos en salud. [Internet]. [cited 2019 Sep 9]. Available from: http://new.paho.org/hq/dmdocuments/2010/RH_Migracion_RHUS-Subregion_Andina.pdf.
Kane L (2019) Medscape Rheumatologist Compensation Report 2019. [Internet]. [cited 2019 Sep 9]. Available from: https://www.medscape.com/slideshow/2019-compensation-rheumatologist-6011350#2.
López-Mejía M (2018) Informe de salarios médicos: España. [Internet]. [cited 2019 Sep 9]. Available from: https://espanol.medscape.com/diapositivas/59000086#7.
De la Cuadra M (2018) ¿Cuánto gana un médico: América vs. resto del mundo? [Internet]. [cited 2019 Sep 9]. Available from: https://www.elsevier.com/es-es/connect/actualidad-sanitaria/cuanto-gana-un-medico.
Adami G, Benini C, Vantaggiato E, Rotta D, Viapiana O, Gatti D, Rossini M, Iagnocco A (2020) Gender disparity in authorship of guidelines and recommendations in rheumatology. Ann Rheum Dis. https://doi.org/10.1136/annrheumdis-2020-217119.
Lundberg IE, Ozen S, Gunes-Ayata A, Kaplan MJ (2005) Women in academic rheumatology. Arthritis Rheum 52(3):697–706. (PMID: 10.1002/art.20881)
Peckham C (2018) Medscape Rheumatologist Compensation Report 2018 [Internet]. [cited 2019 Sep 9]. Available from: https://www.medscape.com/slideshow/2018-compensation-rheumatologist-6009674.
Domagała A, Bała MM, Storman D et al (2018) Factors associated with satisfaction of hospital physicians: a systematic review on European Data. Int J Environ Res Public Health 15(11):2546. Published 2018 Nov 13. https://doi.org/10.3390/ijerph15112546. (PMID: 10.3390/ijerph151125466266839)
McNearney TA, Hunnicutt SE, Maganti R, Rice J (2008) What factors relate to job satisfaction among rheumatologists? J Clin Rheumatol 14(3):133–137. https://doi.org/10.1097/RHU.0b013e318177274d. (PMID: 10.1097/RHU.0b013e318177274d18525430)
Kane L, Schubsky B, Locke T, Kouimtzi M, Duqueroy V, Gottschling C, Lopez M, Schwartz L (2019) International Physician Compensation Report 2019: do US physicians have it best? [Internet]. [cited 2020 May 5]. Available from: https://www.medscape.com/slideshow/2019-international-compensation-report-6011814#7.
Physicians Advocacy Institute (2018) Updated Physician Practice Acquisition Study: National and Regional Changes in Physician Employment. [Internet]. [cited 2019 Sep 9]. Available from: http://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/2016-PAI-Physician-Employment-Study-Final.pdf.
Heponiemi T, Kuusio H, Sinervo T, Elovainio M (2010) Job attitudes and well-being among public vs. private physicians: organizational justice and job control as mediators. Eur J Pub Health 21:520–525. https://doi.org/10.1093/eurpub/ckq107. (PMID: 10.1093/eurpub/ckq107)
Martin K (2020) Medscape Rheumatologist lifestyle, Happiness & Burnout Report 2020. [Internet]. [cited 2020 May 5]. Available from: https://www.medscape.com/slideshow/2020-lifestyle-rheumatologist-6012480#5.
Kaur S, Sharma R, Talwar R, Verma A, Singh S (2009) A study of job satisfaction and work environment perception among doctors in a tertiary hospital in Delhi. Indian J Med Sci 63(4):139–144. https://doi.org/10.4103/0019-5359.50762. (PMID: 10.4103/0019-5359.5076219414983)
Christopher AS, Smith CS, Tivis R, Wilper AP (2014) Trends in United States physician work hours and career satisfaction. Am J Med 127(7):674–680. https://doi.org/10.1016/j.amjmed.2014.03.033. (PMID: 10.1016/j.amjmed.2014.03.03324713209)
Patel R, Bachu R, Adikey A, Malik M, Sha M (2018) Factors related to physician burnout and its consequences: a review. Behav Sci 25(8):98. (PMID: 10.3390/bs8110098)
Weiss P, Kryger M, Knwauert M (2016) Impact of extended duty hours on medical trainees. Sleep Health 2(4):309–315. (PMID: 10.1016/j.sleh.2016.08.003)
Schmit L, Schönrock-Adema J, Borleffs J, Stewart R, Cohen-Schotanus J (2014) The influence of achievement before, during and after medical school on physician job satisfaction. Adv Health Sci Educ Theory Pract 19:581–595. https://doi.org/10.1007/s10459-013-9489-x. (PMID: 10.1007/s10459-013-9489-x)
Scheurer D, McKean S, Miller J, Wetterneck T (2009) U.S. physician satisfaction: a systematic review. J Hosp Med 4(9):560–568. https://doi.org/10.1002/jhm.496. (PMID: 10.1002/jhm.49620013859)
FOMAT medical research (2017) Clinical Trials in Latin America – Challenges and Opportunities. [Internet]. [cited 2019 Sep 9]. Available from: https://www.fomatmedical.com/2017/06/clinical-trials-latin-america-challenges-opportunities/.
Jena AB, Seabury S, Lakdawalla D, Chandra A (2011) Malpractice risk according to physician specialty. N Engl J Med 365(7):629–636. (PMID: 10.1056/NEJMsa1012370)
Crow MK (2005) Academic rheumatology: not just a man’s world. Arthritis Rheum 52(3):694–696. https://doi.org/10.1002/art.20880. (PMID: 10.1002/art.2088015751059)
Contributed Indexing:: Keywords: Job satisfaction; Latin America; Surveys and questionnaires
Entry Date(s):: Date Created: 20200624 Date Completed: 20210514 Latest Revision: 20210514
Update Code:: 20240105
DOI:: 10.1007/s10067-020-05240-y
PMID:: 32572803
: Czasopismo naukowe

Full Text Finder

Background/objective: Latin America has scarce information related to rheumatologist's education, working conditions, productivity, and job satisfaction. The purpose of this survey was to describe the training and clinical practice characteristics of the rheumatology community in Latin America.
Methods: This is a cross-sectional study. A digital survey was created, approved, and endorsed by the scientific committee of the Pan-American League of Associations for Rheumatology (PANLAR) and later sent to the rheumatology associations of the region. The data was analyzed in the statistical program SPSS v.22.
Results: We included 600 surveys of rheumatologists from 19 Latin American countries. The majority were females (53%) and mestizos (58%). The mean age was 46.8 ± 11.7 years. The most frequent workplace was public/government hospitals 33.5% followed by private practice 28.8%, private hospital 20.8%, and university hospital 15.5%. The average number of weekly working hours was 37.8 ± 17.7. 87.5% worked in adult rheumatology, 12.7% pediatric rheumatology, and 23.5% internal medicine. Average satisfaction with practice as a rheumatologist was 5.3/7, career options 4.3/7, location 4.7/7, income 3.5/7, job security 3.7/7, and colleagues and co-workers 4.5/7. Finally, 69.7% had an annual compensation of < 50,000 US dollars.
Conclusions: The majority of the rheumatologists in the region who responded were women, worked in public hospitals, and were satisfied with their clinical practice. There was a low level of income for the region. Key Points • This is the first study that showed the demographic and clinical practice characteristics of rheumatologists in Latin America. • The challenges faced by Latin rheumatologists are like those faced by the region: ethnic diversity, gender differences, migration, difficult access to education, limited research, and low income. • Due to the high prevalence of rheumatic diseases and the shortage of professionals in this area, it is essential to analyze the current workforce and the projections of supply and demand in rheumatology that are expected in the future.

Informacja