ELABORATION OF A MODEL FOR THE MANAGEMENT OF THE NUMBER OF SPECIALIZAD DOCTORS IN THE SPANISH HEALTH...
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ELABORATION OF A MODEL FOR THE MANAGEMENT OF THE NUMBER OF SPECIALIZAD DOCTORS IN THE SPANISH HEALTH SYSTEM Mª Isabel Alonso Magdaleno UNIVERSITY OF OVIEDO
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Transcript of ELABORATION OF A MODEL FOR THE MANAGEMENT OF THE NUMBER OF SPECIALIZAD DOCTORS IN THE SPANISH HEALTH...
ELABORATION OF A MODEL FOR THE MANAGEMENT OF
THE NUMBER OF SPECIALIZAD DOCTORS IN THE
SPANISH HEALTH SYSTEM
Mª Isabel Alonso MagdalenoUNIVERSITY OF OVIEDO
Departamento de Administración de Empresas y Contabilidad
Facultad de Ciencias Económicas y EmpresarialesCampus del Cristo
Avda. del Cristo, s/n - 33071Phone: +34 985 10 36 99
E-mail address: [email protected] - SPAIN
THE NUMBER OF MEDICAL SPECIALIST IN SPAIN: CURRENT SITUATION
DENSITY PER 10000 POPULATION
COUNTRY 1995 1985 COUNTRY 1995 1985Germany 33.6 26.4 Ireland 17.2 16.3Australia 22.4 20.5 Iceland 29.9 26.0Austria 26.6 18.8 Italy 16.5 12.2Belgium 37.4 28.3 Japan 17.7 15.1Canada 21.5 20.0 Luxembourg 22.3 18.1Czech Republic 29.4 26.3 Mexico 15.9 9.4Korea 10.9 5.8 Norway 28.0 22.1Denmark 29.0 25.1 New Zealand 21.1 17.0Spain 40.8 33.1 Poland 23.2 19.7United States 26.3 22.4 Portugal 29.9 24.9Finland 27.7 20.8 United Kingdom 15.6 13.9France 29.4 22.9 Sweden 30.7 25.9Greece 38.8 29.3 Switzerland 31.0 27.2Hungary 34.3 — Turkey 11.5 7.2
LABOUR ACTIVITY IN THE DIFFERENT SECTORS (CESM, 1999)
Total PrivateSector
Other activitiesPublic Sector
Family MedicinePublic Sector
Medical SpecialistsPublic Sector
Without professionalexercise
22%
22% 30%
12%14%
THE NUMBER OF MEDICAL SPECIALIST IN SPAIN: CURRENT SITUATION
LABOUR ACTIVITY FOR AGE GROUPS (CESM, 1999)
0%
20%
40%
60%
80%
100%
A < 30 31 - 35 36 - 40 41 - 45 46 - 50 51 - 55 56 - 60 61- 65 A > 65
Medical Specialists Public Sector
Family Medicine Public Sector
Other activities Public Sector
Without professional exercise
Total Private Sector
THE NUMBER OF MEDICAL SPECIALIST IN SPAIN: CURRENT SITUATION
AGE DISTRIBUTIONS AMONG SPECIALTIES: OLDER SPECIALIST (CESM, 1999)
A < 30
A > 65
61 - 65
56 - 60
51 - 55
46 - 50
41 - 45
36 - 40
31 - 35
0%
20%
40%
60%
80%
100%
Obstetrics and Gynecology
ClinicalAnalysis
Neurophysiology Pediatrics Traumatology Internal Medicine Pediatric Surgery
Cardiovasculardisease
CardiovascularSurgery
Neurosurgery
THE NUMBER OF MEDICAL SPECIALIST IN SPAIN: CURRENT SITUATION
AGE DISTRIBUTIONS AMONG SPECIALTIES: YOUNGER SPECIALIST (CESM, 1999)
0%
20%
40%
60%
80%
100%
Stomatology ClinicalPharmacology
Immunology Work Medicine
Allergy Legal andForensic Medicine
FamilyMedicine
Hydrology ClinicalBiochemistry
Sports Medicine
A > 65
61 - 65
56 - 60
51 - 55
46 - 50
41 - 45
36 - 40
31 - 35
A < 30
THE NUMBER OF MEDICAL SPECIALIST IN SPAIN: CURRENT SITUATION
ELABORATION OF THE MODEL
CAUSAL LOOP DIAGRAM
Hirings
MIRvacancies
Access from recentlygraduates
Historical "bag" ofgraduates without specialtyGraduates
+-
++
+
Medical residents
Medicalspecialists
Specialized doctors
"bag"
+
+
+
-
D
Socialneeds
RetirementsDeaths
Active Medicalspecialists
+
+
+
++
+
D
+
-
Access from specialized doctors "bag"
+
-
Access fromhistorical "bag"
+
-
-
Numerus clausus
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