Brazilian infectious diseases specialists: who and where are they?

Imagem de Miniatura
Arquivos
art_CASSENOTE_Brazilian_infectious_diseases_specialists_who_and_where_are_2016.PDF (1.98 MB)
Citações na Scopus
5
Tipo de produção
article
Data de publicação
2016
Editora
ELSEVIER BRAZIL
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
BRAZILIAN JOURNAL OF INFECTIOUS DISEASES, v.20, n.2, p.141-148, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: The infectious diseases specialist is a medical doctor dedicated to the management of infectious diseases in their individual and collective dimensions. Objectives: The aim of this paper was to evaluate the current profile and distribution of infectious diseases specialists in Brazil. Methods: This is a cross-sectional study using secondary data obtained from institutions that register medical specialists in Brazil. Variables of interest included gender, age, type of medical school (public or private) the specialist graduated from, time since finishing residency training in infectious diseases, and the interval between M.D. graduation and residency completion. Maps are used to study the geographical distribution of infectious diseases specialists. Results: A total of 3229 infectious diseases specialist registries were counted, with 94.3% (3045) of individual counts (heads) represented by primary registries. The mean age was 43.3 years (SD 10.5), and a higher proportion of females was observed (57%; 95% CI 55.3-58.8). Most Brazilian infectious diseases specialists (58.5%) practice in the Southeastern region. However, when distribution rates were calculated, several states exhibited high concentration of infectious diseases specialists, when compared to the national rate (16.06). Interestingly, among specialists working in the Northeastern region, those trained locally had completed their residency programs more recently (8.7 yrs; 95% CI 7.9-9.5) than physicians trained elsewhere in the country (13.6 yrs: 95% CI 11.8-15.5). Conclusion: Our study shows that Brazilian infectious diseases specialists are predominantly young and female doctors. Most have concluded a medical residency training program. The absolute majority practice in the Southeastern region. However, some states from the Northern, Northeastern and Southeastern regions exhibit specialist rates above the national average. In these areas, nonetheless, there is a strong concentration of infectious diseases specialists in state capitals and in metropolitan areas. (C) 2016 Published by Elsevier Editora Ltda.
Palavras-chave
Communicable diseases, Infectious disease medicine, Specialization, Internship and residency, Brazil
URI
https://observatorio.fm.usp.br/handle/OPI/14350
Referências
  1. Amato Neto V, 2004, REV SOC BRAS MED TRO, V37, P510
  2. Chin MH, 1997, J GEN INTERN MED, V12, P523, DOI 10.1046/j.1525-1497.1997.07105.x
  3. Jonasson O, 2002, SURGERY, V131, P672, DOI 10.1067/msy.2002.124880
  4. Vickrey BG, 1999, NEUROLOGY, V53, P1190
  5. Kvaerner KJ, 1999, BRIT MED J, V318, P91
  6. Beagan BL, 2000, SOC SCI MED, V51, P1253, DOI 10.1016/S0277-9536(00)00043-5
  7. NORQUIST G, 1995, ARCH GEN PSYCHIAT, V52, P695
  8. SCHREIBER TL, 1995, J AM COLL CARDIOL, V26, P577, DOI 10.1016/0735-1097(95)00214-O
  9. McDonough CM, 2000, MED EDUC, V34, P30
  10. McManus IC, 2000, J EPIDEMIOL COMMUN H, V54, P10, DOI 10.1136/jech.54.1.10
  11. Scheffer MC, 2010, REV ASSOC MED BRAS, V56, P691, DOI 10.1590/S0104-42302010000600020
  12. DOLAN NC, 1995, J GEN INTERN MED, V10, P515, DOI 10.1007/BF02602405
  13. Petrak RM, 2003, CLIN INFECT DIS, V36, P1013, DOI 10.1086/374245
  14. Barreto ML, 2011, LANCET, V377, P1877, DOI 10.1016/S0140-6736(11)60202-X
  15. Chaves Huylmer Lucena, 2013, Rev. bras. educ. med., V37, P557, DOI 10.1590/S0100-55022013000400011
  16. Conselho Federal de Medicina, 2015, ESTATISTICA
  17. Efron B., 1993, INTRO BOOTSTRAP
  18. Foccacia R, 1988, REV HOSP CLIN FAC ME, V43, P171
  19. Instituto Brasileiro de Geografia e Estatistica, 2013, EST POP MUN BRAS 01
  20. Landon BE, 2003, J GEN INTERN MED, V18, P233, DOI 10.1046/j.1525-1497.2003.20705.x
  21. Luna Expedito J. A., 2002, Rev. bras. epidemiol., V5, P229
  22. Organisation for Economic Co-Operation and Development, 2009, OECD HLTH DAT 2009 C
  23. Read RC, 2011, LANCET INFECT DIS, V1, P408
  24. Sampaio SAP, 1984, RESIDENCIA MED HOSP
  25. Scheffer M, INTRO BOOTSTRAP, V117
  26. Scheffer M, 2011, DEMOGRAFIA MED BRASI
  27. Scheffer Mário César, 2013, Rev. Bioét., V21, P268, DOI 10.1590/S1983-80422013000200010
  28. Schramm Joyce Mendes de Andrade, 2004, Ciênc. saúde coletiva, V9, P897, DOI 10.1590/S1413-81232004000400011
  29. Sociedade Brasileira de Infectologia, 2005, LIVR 25 AN SBI
  30. Sociedade Brasileira de Infectologia, 2015, CONC TIT ESP INF

Coleções
Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - FM/MIP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/39
Artigos e Materiais de Revistas Científicas - LIM/49
Artigos e Materiais de Revistas Científicas - ODS/03