Emergency surgery workforce and its inverse relationship with multidimensional poverty in Colombia

• Published in: European journal of trauma and emergency surgery (Munich : 2007) 2022-04, Vol.48 (2), p.1159-1165
• Main Authors: Manzano-Nunez, Ramiro, Sarmiento, Catalina, Villegas-Vargas, Sofía, Angel-Barrios, Jorge A., Puyana, Juan C., Peck, Gregory, Castro, Felipe, Gaviria, Alejandro, García, Alberto F.
• Format: Article
• Language: English
• Subjects: Colombia - epidemiology; Correlation coefficient; Critical Care Medicine; Ecological studies; Emergency medical care; Emergency Medicine; Gynecology; Humans; Intensive; Medical personnel; Medicine; Medicine & Public Health; Original Article; Orthopedics; Poverty; Sports Medicine; Surgeons; Surgery; Surgical Orthopedics; Traumatic Surgery; Workforce
• ISSN: 1863-9933; 1863-9941
• DOI: 10.1007/s00068-021-01690-4

Purpose General surgeons, anesthesiologists, obstetricians and gynecologists (ob–gyns), and orthopedic surgeons are the vital disciplines to provide emergency surgery within a healthcare system. This paper aims to examine the relationship (if any) between multidimensional poverty (MDP) and GDP per-capita with the emergency surgery workforce density in Colombia. Methods We performed an ecological study, where the observation units were the 32 Colombian departments. The total numbers of general surgeons, anesthesiologists, ob–gyns, and orthopedic surgeons were obtained from the “Registro Unico Nacional de Talento Humano en Salud” (ReTHUS) registry. The 2020 population projections, the incidence of MDP and the GDP per capita were obtained from the Colombian National Administrative Department of Statistics. A spearman’s correlation coefficient was calculated to measure the strength of the correlations between the surgical workforce density with MDP and GDP per-capita. Results There were significant moderate inverse linear correlations between the incidence of multidimensional poverty and workforce density. The correlation coefficients for the incidence of multidimensional poverty and the workforce density were − 0.5273, − 0.5620, − 0.4704, and − 0.4612 for surgeons, anesthesiologists, ob–gyns, and orthopedic surgeons, respectively. Conversely, the correlation coefficients for the GDP per-capita and the workforce density were 0.4045, 0.3822, 0.4404, and 0.3742 for surgeons, anesthesiologists, ob–gyns, and orthopedic surgeons, respectively. Conclusion This study found that Colombian trauma and emergency surgery workforce density was inversely and directly correlated with multidimensional poverty and GDP per-capita levels, respectively. The relationship of these economic indicators with the surgical capacity deserves further investigation.