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[Nephrologic workforce. Who we are? Where do we go? A project by SIN]
Santina Castellino1, Giuseppe Quintaliani2, Santina Cottone3
1Consigliere del Consiglio Direttivo della Società Italiana di Nefrologia, Coordinatore del Tavolo sulla Workforce nefrologica.
Italy has the most nephrologists per capita, but numbers are declining due to retirements exceeding new specialists. This study examines the Italian nephrological workforce and chronic kidney disease epidemiology.
Area of Science:
- Nephrology
- Public Health
- Medical Workforce Analysis
Background:
- The Italian Society of Nephrology (SIN) Workforce Working Group identified a need to assess the nephrological workforce.
- Discrepancies exist in nephrologist numbers between Italy and other countries, with Italy having a high per capita rate.
- Recent trends show a decrease in Italian nephrologists due to higher retirement rates than new specialist entries.
Purpose of the Study:
- To conduct an initial demographic study of the nephrological workforce in Italy and compare it internationally.
- To determine the actual number of nephrologists in Italy relative to population and chronic kidney disease (CKD) epidemiology.
- To analyze demographic trends, including aging and feminization, within the Italian nephrology specialty.
Main Methods:
- Utilized a database for demographic data collection, managed by SIN regional section presidents.
- Employed a survey questionnaire to gather data on demography, workload, and specialty adhesion.
- Collected information on recruitment and retirement programs within the Italian nephrological community.
Main Results:
- Italy exhibits the highest number of nephrologists per capita among studied nations.
- The overall number of practicing nephrologists in Italy has been declining.
- Retirements significantly outpace the influx of new nephrology specialists in Italy.
Conclusions:
- The Italian nephrological workforce faces a demographic challenge with declining numbers.
- Understanding these workforce trends is crucial for addressing the needs of patients with chronic kidney disease.
- Further analysis is required to manage the future supply of nephrologists in Italy.
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