PDF(Pubmed)
Abstract：
BACKGROUND: Equitable health manpower distribution is essential for the successful implementation of the Universal Health Care (UHC) program by the Philippine Department of Health. Mapping the distribution and profile of dermatologists in the Philippines can improve Filipinos\' access to skin disease treatment.
METHODS: A review of the database of dermatologists from the Philippine Dermatological Society (PDS) members\' directory (as of November 2023), as well as the Philippine Health Insurance Corporation (PhilHealth) database (as of July 2023), was conducted. The distribution of PDS-accredited dermatologists was analyzed by geographic location, demographic profile (age and sex), density (per 100,000 people), and the dermatologist-to-general practitioner (GP) ratio. Heatmaps illustrating the distribution of dermatologists in the Philippines and the ratio of PhilHealth-accredited PDS board-certified dermatologists to GPs were created.
RESULTS: Out of 1389 PDS board-certified dermatologists, 1345 resided in the Philippines. The majority were women (1221/1345, 90.78%), with a median age of 47 years (range: 23 to 85). More than half were practicing in the National Capital Region (NCR) (684/1345, 50.86%). The overall dermatologist density was approximately 1 per 100,000 people (1.19); it was highest for the Luzon Island group (1.54) (NCR, 4.80) and lowest for the Mindanao Island group (0.27; the Bangsamoro Autonomous Region of Muslim Mindanao or BARMM, 0.04). Less than one-third (396/1345, 29.44%) of dermatologists were PhilHealth-accredited, with a density of 0.35 dermatologists per 100,000 people. Out of 45218 PhilHealth-accredited physicians, 396 (0.88%) were dermatologists while 11748 (25.98%) were GPs. The overall dermatologist-to-GP ratio among PhilHealth-accredited physicians was 1:30; it was highest in the Luzon Island group (1:20) and lowest in the Mindanao Island group (1:118).
CONCLUSIONS: The Philippines lacks dermatologists in regions outside the NCR. The majority are women, and few are PhilHealth-accredited. The dermatologist-to-GP ratio among PhilHealth-accredited physicians is low. Dermatology training programs should encourage more applicants, especially men, and prioritize applicants from underserved regions.
METHODS: A review of the database of dermatologists from the Philippine Dermatological Society (PDS) members\' directory (as of November 2023), as well as the Philippine Health Insurance Corporation (PhilHealth) database (as of July 2023), was conducted. The distribution of PDS-accredited dermatologists was analyzed by geographic location, demographic profile (age and sex), density (per 100,000 people), and the dermatologist-to-general practitioner (GP) ratio. Heatmaps illustrating the distribution of dermatologists in the Philippines and the ratio of PhilHealth-accredited PDS board-certified dermatologists to GPs were created.
RESULTS: Out of 1389 PDS board-certified dermatologists, 1345 resided in the Philippines. The majority were women (1221/1345, 90.78%), with a median age of 47 years (range: 23 to 85). More than half were practicing in the National Capital Region (NCR) (684/1345, 50.86%). The overall dermatologist density was approximately 1 per 100,000 people (1.19); it was highest for the Luzon Island group (1.54) (NCR, 4.80) and lowest for the Mindanao Island group (0.27; the Bangsamoro Autonomous Region of Muslim Mindanao or BARMM, 0.04). Less than one-third (396/1345, 29.44%) of dermatologists were PhilHealth-accredited, with a density of 0.35 dermatologists per 100,000 people. Out of 45218 PhilHealth-accredited physicians, 396 (0.88%) were dermatologists while 11748 (25.98%) were GPs. The overall dermatologist-to-GP ratio among PhilHealth-accredited physicians was 1:30; it was highest in the Luzon Island group (1:20) and lowest in the Mindanao Island group (1:118).
CONCLUSIONS: The Philippines lacks dermatologists in regions outside the NCR. The majority are women, and few are PhilHealth-accredited. The dermatologist-to-GP ratio among PhilHealth-accredited physicians is low. Dermatology training programs should encourage more applicants, especially men, and prioritize applicants from underserved regions.
摘要：
背景：公平的卫生人力分配对于菲律宾卫生部成功实施全民医疗保健（UHC）计划至关重要。绘制菲律宾皮肤科医生的分布和概况可以改善菲律宾人获得皮肤病治疗的机会。
方法：对菲律宾皮肤病学会（PDS）成员目录中皮肤科医生数据库的回顾（截至2023年11月），以及菲律宾健康保险公司(PhilHealth)数据库(截至2023年7月)，进行了。按地理位置分析了PDS认可的皮肤科医生的分布，人口统计（年龄和性别），密度（每10万人），和皮肤科医生与全科医生（GP）的比率。创建了热图，说明了菲律宾皮肤科医生的分布以及PhilHealth认可的PDS董事会认证的皮肤科医生与全科医生的比例。
结果：在1389名PDS委员会认证的皮肤科医生中，1345年居住在菲律宾。大多数是女性(1221/1345，90.78%)，年龄中位数为47岁（范围：23至85岁）。超过一半的人在国家首都地区（NCR）执业（684/1345，50.86%）。皮肤科医生的总体密度约为每100,000人中有1人（1.19）；吕宋岛组最高（1.54）（NCR，4.80），棉兰老岛组最低（0.27；穆斯林棉兰老岛或BARMM的Bangsamoro自治区，0.04).不到三分之一（396/1345，29.44％）的皮肤科医生获得了PhilHealth认证，皮肤科医生的密度为每10万人0.35人。在45218名获得PhilHealth认证的医生中，皮肤科医生396人（0.88%），全科医生11748人（25.98%）。PhilHealth认可的医生中皮肤科医生与GP的总体比例为1：30；在吕宋岛组中最高（1：20），在棉兰老岛组中最低（1：118）。
结论：菲律宾在NCR以外的地区缺乏皮肤科医生。大多数是女性，很少有人获得PhilHealth认证。PhilHealth认可的医生中皮肤科医生与GP的比率很低。皮肤科培训计划应该鼓励更多的申请者，尤其是男人,并优先考虑来自服务不足地区的申请人。
方法：对菲律宾皮肤病学会（PDS）成员目录中皮肤科医生数据库的回顾（截至2023年11月），以及菲律宾健康保险公司(PhilHealth)数据库(截至2023年7月)，进行了。按地理位置分析了PDS认可的皮肤科医生的分布，人口统计（年龄和性别），密度（每10万人），和皮肤科医生与全科医生（GP）的比率。创建了热图，说明了菲律宾皮肤科医生的分布以及PhilHealth认可的PDS董事会认证的皮肤科医生与全科医生的比例。
结果：在1389名PDS委员会认证的皮肤科医生中，1345年居住在菲律宾。大多数是女性(1221/1345，90.78%)，年龄中位数为47岁（范围：23至85岁）。超过一半的人在国家首都地区（NCR）执业（684/1345，50.86%）。皮肤科医生的总体密度约为每100,000人中有1人（1.19）；吕宋岛组最高（1.54）（NCR，4.80），棉兰老岛组最低（0.27；穆斯林棉兰老岛或BARMM的Bangsamoro自治区，0.04).不到三分之一（396/1345，29.44％）的皮肤科医生获得了PhilHealth认证，皮肤科医生的密度为每10万人0.35人。在45218名获得PhilHealth认证的医生中，皮肤科医生396人（0.88%），全科医生11748人（25.98%）。PhilHealth认可的医生中皮肤科医生与GP的总体比例为1：30；在吕宋岛组中最高（1：20），在棉兰老岛组中最低（1：118）。
结论：菲律宾在NCR以外的地区缺乏皮肤科医生。大多数是女性，很少有人获得PhilHealth认证。PhilHealth认可的医生中皮肤科医生与GP的比率很低。皮肤科培训计划应该鼓励更多的申请者，尤其是男人,并优先考虑来自服务不足地区的申请人。
