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Published in: World Journal of Surgery 12/2018

01-12-2018 | Original Scientific Report

Orthopaedic Surgeon Density in South Africa

Authors: A. J. Dell, S. Gray, R. Fraser, M. Held, R. Dunn

Published in: World Journal of Surgery | Issue 12/2018

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Abstract

Background

In the era of global surgery, there are limited data regarding the available surgical workforce in South Africa.

Methods

This aim of this study was to determine the orthopaedic surgeon density in South Africa. This involved a quantitative descriptive analysis of all registered specialist orthopaedic surgeons in South Africa, using data collected from various professional societal national databases.

Results

The results showed 1.63 orthopaedic surgeons per 100,000 population. The vast majority were male (95%) with under two-thirds (65%) being under the age of 55 years. The majority of the orthopaedic surgeons were found in Gauteng, followed by the Western Cape and Kwa-Zulu Natal. The majority of specialists reportedly worked either full time or part time in the private sector (95%), and the orthopaedic surgeon density per uninsured population (0.36) was far below that of the private sector (8.3).

Conclusion

Interprovincial differences as well as intersectoral differences were marked indicating geographic and socio-economic maldistribution of orthopaedic surgeons. This parallels previous studies which looked at other surgical sub-disciplines in South Africa. Addressing this maldistribution requires concerted efforts to expand public sector specialist posts as well as quantifying the burden of orthopaedic disease in both private and public sectors before recommendations can be made regarding workforce allocation in the future.

Level of evidence

IV
Literature
2.
go back to reference Beveridge M, Howard A (2004) The burden of orthopaedic disease in developing countries. JBJS 86(8):1819–1822CrossRef Beveridge M, Howard A (2004) The burden of orthopaedic disease in developing countries. JBJS 86(8):1819–1822CrossRef
5.
go back to reference Meara J, Leather A, Hagander L et al (2015) Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386(9993):569–624CrossRefPubMed Meara J, Leather A, Hagander L et al (2015) Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386(9993):569–624CrossRefPubMed
8.
go back to reference Farley F, Weinstein J, Aamoth G, Shapiro M et al (2017) Workforce analysis in orthopaedic surgery: how can we improve the accuracy of our predictions? J Am Acad Orth Surg 15(5):268–273CrossRef Farley F, Weinstein J, Aamoth G, Shapiro M et al (2017) Workforce analysis in orthopaedic surgery: how can we improve the accuracy of our predictions? J Am Acad Orth Surg 15(5):268–273CrossRef
9.
go back to reference Held M, Dunn R (2017) Growing local research in the era of Global Surgery. SA Orthopaed J 16(2):16–18 Held M, Dunn R (2017) Growing local research in the era of Global Surgery. SA Orthopaed J 16(2):16–18
11.
go back to reference Matsebula T, Willie M (2007) Private hospitals. In: Harrison S, Bhana R, Ntuli A (eds) South African Health Review 2007. Health Systems Trust, Durban, Chapter 11, pp 159–164 Matsebula T, Willie M (2007) Private hospitals. In: Harrison S, Bhana R, Ntuli A (eds) South African Health Review 2007. Health Systems Trust, Durban, Chapter 11, pp 159–164
13.
go back to reference College of Medicine of South Africa. Orthopaedic surgeon final examination pass rate 2006–2016 (unpublished) College of Medicine of South Africa. Orthopaedic surgeon final examination pass rate 2006–2016 (unpublished)
Metadata
Title
Orthopaedic Surgeon Density in South Africa
Authors
A. J. Dell
S. Gray
R. Fraser
M. Held
R. Dunn
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 12/2018
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-018-4709-4

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