英国耳鼻喉科顾问队伍:最新调查及未来影响。

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY
H. Nieto, J. Lee, C. Hall, A. L. McDermott
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引用次数: 0

摘要

导言:有效的医务人员配置是医疗保健系统成功的关键,需要进行战略规划以确保提供高质量的服务。尽管随着时间的推移,英国的医生与人口比例有所改善,但仍低于全球平均水平。COVID-19 大流行加剧了现有的挑战,导致英国国家医疗服务体系的候诊人数达到前所未有的水平,其中耳鼻喉(ENT)手术的候诊时间在所有专科中排名第三:本研究利用全国性的 jotform 调查从英国耳鼻喉科医师协会(ENTUK)成员处收集数据,主要关注英国各地耳鼻喉科的顾问人员配备情况。收集的其他信息包括注册状态、兼职角色、性别、职位空缺、临时工角色、副专家、注册医师和其他初级医师以及高级执业护士。如果调查答复不充分,则与部门顾问或秘书直接沟通,必要时还会申请信息自由。所有数据均使用 Microsoft Excel 进行编辑:在对英国耳鼻喉科医院调查的 65 份回复中,确定了 53 家托管医院。其中包括 41 家英国急症医院,苏格兰、威尔士和北爱尔兰也有医院参与调查。结合信息自由申请,我们收集了来自115家英国急症医院的749名顾问的数据:结论:尽管耳鼻喉科顾问人数有所增加,但空缺职位持续存在,同时候诊名单也在不断增加。大流行病的影响,包括提前退休和兼职,强调了扩大培训岗位以平衡这些变化的紧迫性。地方和国家干预措施对于通过各种战略加强耳鼻喉科医生队伍并使其多样化至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Otolaryngology Consultant Workforce in England: A Survey Update and Future Repercussions

Introduction

Effective medical staffing is pivotal for a successful healthcare system, demanding strategic planning to ensure a high-quality service. Although the UK’s doctor to population ratio has improved over time, it remains below global averages. The COVID-19 pandemic has exacerbated existing challenges, resulting in an unprecedented NHS waiting list with Ear, Nose, and Throat (ENT) surgeries ranking third highest in waiting times amongst all specialties.

Methods

This study utilized a national jotform survey to gather data from ENTUK members, primarily focusing on consultant staffing within ENT departments across the UK. Additional information collected encompassed registration status, part-time roles, gender, vacancies, locum roles, associate specialists, registrars and other junior doctors, and advanced nurse practitioners. When survey responses were inadequate, direct communication was established with departmental consultants or secretaries, followed by Freedom of Information requests as necessary. All data were compiled using Microsoft Excel.

Results

Among the 65 responses to the ENTUK survey, 53 individual trusts were identified. These included 41 English acute trusts, with supplementary participation from Scotland, Wales, and Northern Ireland. Data from 749 consultants across 115 English acute trusts were collected in combination with a Freedom of Information request.

Conclusion

Despite an increased number of ENT consultants, the persistence of unfilled posts coincides with mounting waiting lists. The pandemic’s effects, including early retirements and part-time roles, emphasise the urgency of expanding training positions to counterbalance these shifts. Local and national interventions are essential to fortify and diversify the ENT workforce through a variety of strategies.

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来源期刊
Clinical Otolaryngology
Clinical Otolaryngology 医学-耳鼻喉科学
CiteScore
4.00
自引率
4.80%
发文量
106
审稿时长
>12 weeks
期刊介绍: Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.
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