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Distribución geográfica de médicos en Japón
1Department of Public Health, Teikyo University School of Medicine, Tokyo, Japan.
Lancet (London, England)
|December 5, 1992
Resumen
Japón Japón Japón Japón Japón.
Área de la Ciencia:
- Política de salud Política de salud
- Fuerza de trabajo médica.
- Salud Pública La salud pública.
Sus antecedentes:
- Japón se enfrentó a la escasez de médicos y la mala distribución en la década de 1970.
- Se promulgó una política para aumentar el número de estudiantes de medicina y el número de escuelas.
- Esta política tenía como objetivo abordar las cuestiones de suministro de médicos.
Objetivo del estudio:
- Para evaluar el éxito de la política de personal médico de Japón.
- Para analizar los cambios en la distribución de médicos entre 1980 y 1990.
- Evaluar el impacto de la política en la mala distribución de los médicos.
Principales métodos:
- Análisis del número de médicos en relación con la población en todos los organismos municipales japoneses (n=3268).
- Utilizó la curva de Lorenz y el coeficiente de Gini para evaluar la desigualdad de distribución.
- Comparación de la distribución de médicos en áreas con poblaciones de más de 30.000 versus menos de 10.000.
Principales resultados:
- El número de médicos en ejercicio aumentó en un 37% a nivel nacional.
- La proporción de médicos por cada 100.000 habitantes se elevó de 127 a 165, lo que supone un aumento del número de médicos por cada 100.000 habitantes.
- La desigualdad en la distribución de médicos persistió, y las comunidades más grandes obtuvieron más médicos.
Conclusiones:
- A pesar del aumento en el número de médicos, la política no resolvió la mala distribución.
- Las comunidades más pequeñas recibieron desproporcionadamente menos médicos.
- Se necesitan nuevas políticas para abordar efectivamente la mala distribución de médicos en Japón.
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