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Medical demography at stroke centers: Current situation in France
Revue Neurologique
|October 25, 2023
Summary
French stroke centers face significant physician shortages, with 18.5% of positions vacant for years. This medical staff shortage threatens stroke care access and network integrity.
Area of Science:
- Neurology
- Healthcare Management
- Public Health Policy
Background:
- France's national stroke action plan increased stroke center (SC) availability.
- Operational challenges within SCs have emerged.
- Medical staff shortages are suspected contributors to these difficulties.
Purpose of the Study:
- To identify medical staff shortages in French stroke centers.
- To assess the impact of these shortages on healthcare delivery.
Main Methods:
- A nationwide survey of French SC managers regarding medical staffing levels as of January 1, 2021.
- Inquiries focused on vacancies, interim staffing needs, and out-of-hour service participation.
Main Results:
- 18.5% of 879 physician positions in SCs were vacant, averaging two years.
- 41.9% of SCs had over two unfilled positions, with some critical situations impacting out-of-hour services.
- 39.2% of SCs with vacancies utilized interim physicians extensively.
Conclusions:
- Significant medical staff shortages exist in French SCs.
- Without urgent intervention, SC closures are likely.
- This jeopardizes regional stroke care networks and patient access.
