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Barber Pérez P, González López-Valcárcel B. [Experiences in human resources planning for health: The case of physicians. Data and models. SESPAS Report 2024]. GACETA SANITARIA 2024; 38 Suppl 1:102365. [PMID: 38373867 DOI: 10.1016/j.gaceta.2024.102365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 12/19/2023] [Accepted: 01/17/2024] [Indexed: 02/21/2024]
Abstract
Virtually all developed countries conduct physician planning exercises. We can learn from successful experiences. The modeling and projection of supply is technically complex, but it is a technical matter, whereas the assessment of demand or need, and therefore the outcome in terms of deficit or surplus, requires standards, usually in population ratios, which are based on expert judgments and belong to the normative universe. One type of technical problem insufficiently solved is that of converting "heads" into full time equivalents. Fortunately, progress is being made in the right direction. We need more and better information, in particular the State Register of Health Professionals, but even with the limitations of the data, it is necessary to plan. The Ministry of Health, the Autonomous Regions and other professional and union organizations regularly carry out planning exercises. We have high rates of physicians and graduates, and low rates of nurses, a growing number of physicians in both public and private practice, and short-term deficits in some specialties, particularly family medicine, which urgently needs specific incentives to stimulate vocations. The numbers tell only part of the story. The imbalances in the educational and labor markets are not resolved by creating vacancies, but rather by reforming the regulatory framework, incentive systems and public management slack to compete with the private sector in attracting and retaining talent.
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Affiliation(s)
- Patricia Barber Pérez
- Universidad de Las Palmas de Gran Canaria, Campus de Tafira, Las Palmas de Gran Canaria, España
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2
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Rascado Sedes P, Ballesteros Sanz MA, Bodí Saera MA, Carrasco Rodríguez-Rey LF, Castellanos Ortega A, Catalán González M, López CDH, Díaz Santos E, Escriba Barcena A, Frade Mera MJ, Igeño Cano JC, Martín Delgado MC, Martínez Estalella G, Raimondi N, Roca I Gas O, Rodríguez Oviedo A, Romero San Pío E, Trenado Álvarez J. [Contingency plan for the intensive care services for the COVID-19 pandemic]. Med Intensiva 2020; 44:363-370. [PMID: 32336551 PMCID: PMC7180014 DOI: 10.1016/j.medin.2020.03.006] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 03/23/2020] [Indexed: 12/17/2022]
Abstract
In January 2020, the Chinese authorities identified a new virus of the Coronaviridae family as the cause of several cases of pneumonia of unknown aetiology. The outbreak was initially confined to Wuhan City, but then spread outside Chinese borders. On 31 January 2020, the first case was declared in Spain. On 11 March 2020, The World Health Organization (WHO) declared the coronavirus outbreak a pandemic. On 16 March 2020, there were 139 countries affected. In this situation, the Scientific Societies SEMICYUC and SEEIUC have decided to draw up this Contingency Plan to guide the response of the Intensive Care Services. The objectives of this plan are to estimate the magnitude of the problem and identify the necessary human and material resources. This is to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies.
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Affiliation(s)
- P Rascado Sedes
- Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
| | - M A Ballesteros Sanz
- Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, España
| | - M A Bodí Saera
- Servicio de Medicina Intensiva, Hospital Universitario de Tarragona JoanXXIII, Tarragona, España
| | | | - A Castellanos Ortega
- Área de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Universidad de Valencia, Valencia, España
| | - M Catalán González
- Servicio de Medicina Intensiva, Hospital Universitario 12de Octubre, Madrid, España
| | - C de Haro López
- Área de Críticos, Corporación Sanitaria i Universitaria Parc Taulí. CIBER de Enfermedades Respiratorias, Sabadell, Barcelona, España
| | - E Díaz Santos
- Área de Críticos, Corporación Sanitaria i Universitaria Parc Taulí. CIBER de Enfermedades Respiratorias, Sabadell, Barcelona, España
| | - A Escriba Barcena
- Servicio de Medicina Intensiva, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, España
| | - M J Frade Mera
- Servicio de Medicina Intensiva, Hospital Universitario 12de Octubre, Madrid, España
| | - J C Igeño Cano
- Servicio de Medicina Intensiva y Urgencias, Hospital San Juan de Dios de Córdoba, Córdoba, España
| | - M C Martín Delgado
- Servicio de Medicina Intensiva, Hospital de Torrejón, Torrejón de Ardoz, Madrid, España
| | | | - N Raimondi
- División de Terapia Intensiva, Hospital Juan A. Fernández, Buenos Aires, Argentina
| | - O Roca I Gas
- Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Barcelona, España
| | - A Rodríguez Oviedo
- Servicio de Medicina Intensiva, Hospital Universitario de Tarragona JoanXXIII, Tarragona, España
| | | | - J Trenado Álvarez
- Servicio de Medicina Intensiva, Hospital Universitario Mútua Terrassa, Terrassa, Barcelona, España
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3
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Rascado Sedes P, Ballesteros Sanz M, Bodí Saera M, Carrasco Rodríguez-Rey L, Castellanos Ortega A, Catalán González M, de Haro López C, Díaz Santos E, Escriba Barcena A, Frade Mera M, Igeño Cano J, Martín Delgado M, Martínez Estalella G, Raimondi N, Roca i Gas O, Rodríguez Oviedo A, Romero San Pío E, Trenado Álvarez J. Contingency plan for the intensive care services for the COVID-19 pandemic. MEDICINA INTENSIVA (ENGLISH EDITION) 2020. [PMCID: PMC7335239 DOI: 10.1016/j.medine.2020.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
In January 2020, the Chinese authorities identified a new virus of the Coronaviridae family as the cause of several cases of pneumonia of unknown aetiology. The outbreak was initially confined to Wuhan City, but then spread outside Chinese borders. On 31 January 2020, the first case was declared in Spain. On 11 March 2020, The World Health Organization (WHO) declared the coronavirus outbreak a pandemic. On 16 March 2020, there were 139 countries affected. In this situation, the Scientific Societies SEMICYUC and SEEIUC, have decided to draw up this Contingency Plan to guide the response of the Intensive Care Services. The objectives of this plan are to estimate the magnitude of the problem and identify the necessary human and material resources. This is to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies.
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Affiliation(s)
- P. Rascado Sedes
- Servicio de Medicina Intensiva, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
- Corresponding author.
| | - M.A. Ballesteros Sanz
- Servicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Spain
| | - M.A. Bodí Saera
- Servicio de Medicina Intensiva, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain
| | | | - A. Castellanos Ortega
- Área de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Universidad de Valencia, Valencia, Spain
| | - M. Catalán González
- Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - C. de Haro López
- Área de Críticos, Corporación Sanitaria i Universitaria Parc Tauli, CIBER Enfermedades Respiratorias, Sabadell, Barcelona, Spain
| | - E. Díaz Santos
- Área de Críticos, Corporación Sanitaria i Universitaria Parc Tauli, CIBER Enfermedades Respiratorias, Sabadell, Barcelona, Spain
| | - A. Escriba Barcena
- Servicio de Medicina Intensiva, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain
| | - M.J. Frade Mera
- Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, Spain
| | - J.C. Igeño Cano
- Servicio de Medicina Intensiva y Urgencias, Hospital San Juan de Dios de Córdoba, Córdoba, Spain
| | - M.C. Martín Delgado
- Servicio de Medicina Intensiva, Hospital de Torrejón, Torrejón de Ardoz, Madrid, Spain
| | | | - N. Raimondi
- División de Terapia Intensiva, Hospital Juan A. Fernández, Buenos Aires, Argentina
| | - O. Roca i Gas
- Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Barcelona, Spain
| | - A. Rodríguez Oviedo
- Servicio de Medicina Intensiva, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain
| | | | - J. Trenado Álvarez
- Servicio de Medicina Intensiva, Hospital Universitario Mútua Terrassa, Terrassa, Barcelona, Spain
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Rascado Sedes P, Ballesteros Sanz M, Bodí Saera M, Carrasco RodríguezRey L, Castellanos Ortega Á, Catalán González M, de Haro López C, Díaz Santos E, Escriba Barcena A, Frade Mera M, Igeño Cano J, Martín Delgado M, Martínez Estalella G, Raimondi N, Roca i Gas O, Rodríguez Oviedo A, Romero San Pío E, Trenado Álvarez J, Raurell M, Ferrer Roca R, Castellanos Ortega Á, Trenado Álvarez J, Tesorero VFG, Tejedor AH, Gutiérrez MH, Ramírez Galleymore P, Sanz MÁB, Sedes PR, de la Oliva Calvo LL, Delgado MCM, Torredá MR, Barrio Linares MD, García MR, García MTR, Hito MPD, Mondéjar JJR, Arroyo CM, Arribas ASJ, Mera MJF. Contingency Plan for the Intensive Care Services for the COVID-19 pandemic. ENFERMERÍA INTENSIVA (ENGLISH ED.) 2020. [PMCID: PMC7221392 DOI: 10.1016/j.enfie.2020.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
In January 2020, the Chinese authorities identified a new virus of the Coronaviridae family as the cause of several cases of pneumonia of unknown aetiology. The outbreak was initially confined to Wuhan City, but then spread outside Chinese borders. On 31 January 2020, the first case was declared in Spain. On 11 March 2020, The World Health Organisation (WHO) declared the coronavirus outbreak a pandemic. On 16 March 2020, there were 139 countries affected. In this situation, the Scientific Societies SEMICYUC and SEEIUC, have decided to draw up this Contingency Plan to guide the response of the intensive care services. The objectives of this plan are to estimate the magnitude of the problem and identify the necessary human and material resources. This is to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies.
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5
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Sedes PR, Sanz MÁB, Saera MAB, RodríguezRey LFC, Ortega ÁC, González MC, López CDH, Santos ED, Barcena AE, Mera MJF, Cano JCI, Delgado MCM, Estalella GM, Raimondi N, Gas ORI, Oviedo AR, Pío ERS, Álvarez JT, Raurell M. Contingency Plan for the Intensive Care Services for the COVID-19 pandemic. ENFERMERIA INTENSIVA 2020; 31:82-89. [PMID: 32360022 PMCID: PMC7129638 DOI: 10.1016/j.enfi.2020.03.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 03/23/2020] [Indexed: 12/24/2022]
Abstract
In January 2020, the Chinese authorities identified a new virus of the Coronaviridae family as the cause of several cases of pneumonia of unknown aetiology. The outbreak was initially confined to Wuhan City, but then spread outside Chinese borders. On 31 January 2020, the first case was declared in Spain. On 11 March 2020, The World Health Organization (WHO) declared the coronavirus outbreak a pandemic. On 16 March 2020, there were 139 countries affected. In this situation, the Scientific Societies SEMICYUC and SEEIUC, have decided to draw up this Contingency Plan to guide the response of the Intensive Care Services. The objectives of this plan are to estimate the magnitude of the problem and identify the necessary human and material resources. This is to provide the Spanish Intensive Medicine Services with a tool to programme optimal response strategies.
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Affiliation(s)
- P Rascado Sedes
- Servicio de Medicina Intensiva. Complejo Hospitalario Universitario de Santiago de Compostela. Santiago de Compostela, A Coruña, España
| | - M Á Ballesteros Sanz
- Servicio de Medicina Intensiva. Hospital Universitario Marqués de Valdecilla, Santander, España
| | - M A Bodí Saera
- Servicio de Medicina Intensiva. Hospital Universitario de Tarragona Joan XXIII, Tarragona, España
| | | | - Á Castellanos Ortega
- Área de Medicina Intensiva, Profesor asociado de Medicina Universidad de Valencia. Hospital Universitario y Politécnico La Fe, Valencia, España
| | - M Catalán González
- Servicio de Medicina Intensiva. Hospital Universitario 12 de Octubre, Madrid, España
| | - C de Haro López
- Área de Críticos. Corporación Sanitaria i Universitaria Parc Tauli. CIBER Enfermedades Respiratorias, Sabadell, España
| | - E Díaz Santos
- Área de Críticos. Corporación Sanitaria i Universitaria Parc Tauli. CIBER Enfermedades Respiratorias, Sabadell, España
| | - A Escriba Barcena
- Servicio de Medicina Intensiva. Hospital Universitario Fuenlabrada, Madrid, España
| | - M J Frade Mera
- Servicio de Medicina Intensiva. Hospital Universitario 12 de Octubre, Madrid, España
| | - J C Igeño Cano
- Servicio de Medicina Intensiva y Urgencias. Hospital San Juan de Dios de Córdoba, España
| | - M C Martín Delgado
- Servicio de Medicina Intensiva. Hospital de Torrejón, Torrejón de Ardoz, Madrid, España
| | | | - N Raimondi
- División de Terapia Intensiva. Hospital Juan A. Fernández, Buenos Aires, Argentina
| | - O Roca I Gas
- Servicio de Medicina Intensiva. Hospital Universitario Vall d́Hebron, Barcelona, España
| | - A Rodríguez Oviedo
- Servicio de Medicina Intensiva. Hospital Universitario de Tarragona Joan XXIII, Tarragona, España
| | | | - J Trenado Álvarez
- Jefe de Servicio de Medicina Intensiva. Hospital Universitario Mutua Tarrasa, Barcelona, España
| | - M Raurell
- Escuela de Enfermería, Universidad de Barcelona, Barcelona, España.
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6
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Alexis Ruiz A, Wyszyńska PK, Laudanski K. Narrative Review of Decision-Making Processes in Critical Care. Anesth Analg 2019; 128:962-970. [DOI: 10.1213/ane.0000000000003683] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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7
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Araiz Burdio JJ, Zalba Etayo B, Suarez Pinilla MÁ. Intensivists, lose all hope. Med Intensiva 2018; 43:320-322. [PMID: 30287089 DOI: 10.1016/j.medin.2018.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 07/26/2018] [Accepted: 08/07/2018] [Indexed: 11/29/2022]
Affiliation(s)
- J J Araiz Burdio
- Coordinación de Trasplantes, Hospital Clínico Universitario «Lozano Blesa», Zaragoza, España; Servicio de Medicina Intensiva, Hospital Clínico Universitario «Lozano Blesa», Zaragoza, España; Departamento de Medicina, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España; Instituto de Investigación Sanitaria Aragón, Zaragoza, España.
| | - B Zalba Etayo
- Servicio de Medicina Intensiva, Hospital Clínico Universitario «Lozano Blesa», Zaragoza, España; Departamento de Medicina, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España; Instituto de Investigación Sanitaria Aragón, Zaragoza, España
| | - M Á Suarez Pinilla
- Servicio de Medicina Intensiva, Hospital Clínico Universitario «Lozano Blesa», Zaragoza, España; Departamento de Medicina, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, España; Instituto de Investigación Sanitaria Aragón, Zaragoza, España
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