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Nephrology workforce in China: describing current status and evaluating the optimal capacity based on real-world data
Jingyi Wu1, Qing Li1, Chenlu Bao1
1Advanced Institute of Information Technology, Peking University, No.233 Yonghui Road, Xiaoshan District, Hangzhou, 311215, Zhejiang, China.
Human Resources for Health
|August 8, 2023
Summary
China
Area of Science:
- Nephrology
- Healthcare Workforce Analysis
- Public Health Policy
Background:
- The distribution of nephrologists in China is uneven.
- Understanding patient mobility is crucial for healthcare planning.
Purpose of the Study:
- To characterize the current nephrology workforce in China.
- To evaluate optimal nephrologist capacity using patient mobility data.
Main Methods:
- Collected nephrologist data from online platforms using web crawlers and NLP.
- Analyzed chronic kidney disease (CKD) patient hospitalization and mobility data (2014-2018).
- Used multivariate Poisson regression to assess workforce impact on patient mobility.
Main Results:
- China has 9.13 nephrologists per million population (pmp), with wide geographic disparities.
- 21.3% of CKD hospitalizations involved cross-city travel.
- Nephrologist density in both source and destination cities influenced patient mobility.
Conclusions:
- Significant geographic variations exist in China's nephrology workforce.
- An optimal range of 12-20 nephrologists pmp is recommended based on healthcare needs and mobility patterns.
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