Situation of the Primary Care Pediatrics in Spain in 2018
Pedro J. Gorrotxategi Gorrotxategia, César García Verab, Agustín Graffigna Lojendioc, Concepción Sánchez Pinad, Narcisa Palomino Urdae, Carmen Rosa Rodríguez Fernández-Olivaf, Carmen Villaizán Pérezg, Eva Suárez Vicenth, M.ª Dolores Cantarero Vallejoi, miembros de la Junta Directiva y de las asociaciones federadas de la AEPapj
aPediatra. CS Pasaia San Pedro. Pasajes. Guipúzcoa. España.
bPediatra. CS José Ramon Muñoz Fernández. Zaragoza. España.
cPediatra. CS de Taco. Tenerife. España.
dPediatra. CS San Andrés. Madrid. España.
eCS Salvador Caballero. Granada. España.
fPediatra. Coordinación Pediatría Atención Primaria/Atención Hospitalaria. Dirección General de Programas Asistenciales. Servicio Canario de Salud. España.
gPediatra. CS Santa Bárbara. Toledo. España.
hPediatra. CS. Burriana II. Burriana. Castellón. España.
iPediatra. CS de Illescas . Toledo. España.
jAmparo Rodríguez Lombardía, Rubén García Pérez, M.ª Amor Peix Sambola, José Bernard Usoz, Celia Gómez Málaga, M.ª del Pilar Rojo Portolés, Cristina Villafruela Álvarez, Teresa Cenarro Guerrero, Manuela Sánchez Echenique, Alberto Bercedo Sanz. Sebastián Llorente García, José Ignacio Pérez Candás, Nieves San José Calleja, Pedro Campos Nieto, Marta Esther Vázquez Fernández, Ana Isabel Ripoll Lozano, Carmen Fidalgo Campaña, Guillermo Chaves Díaz, Ignacio Ledesma Benítez. Montserrat Rodríguez Fernández, Celia Zulueta Garicano, Marianna Mambie Menéndez, M.ª Mercedes Garrido Redondo, Guillermo Martín Carballo, M.ª Ester Serrano Poveda. Ángel Carrasco Sanz, Reyes Hernández Guillén, María Álvarez Castaño, Luis Carlos Blesa Baviera y Juan Ruiz-Canela Cáceres.
Correspondence: PJ Gorrotxategi. E-mail: pedro.gorrotxa@gmail.com
Reference of this article: Gorrotxategi Gorrotxategi PJ, García Vera C, Graffigna Lojendio A, Sánchez Pina C, Palomino Urda N, Rodríguez Fernández-Oliva CR, et al. Situation of the Primary Care Pediatrics in Spain in 2018. Rev Pediatr Aten Primaria. 2018;20:e89-e104.
Published in Internet: 20-09-2018 - Visits: 26144
Abstract
Introduction: the Spanish Association of Primary Care Pediatrics (AEPap) wants to know the percentage of primary care paediatrics (PAP) places in public health services occupied by non-specialists in Pediatrics and their Specific Areas (PSA), the working conditions of the same and the number of professionals who are next to retirement. For this, a survey has been carried out among the members of the autonomous associations that make up the association.
Results: data of 90% of the PAP places have been obtained. The percentage of places at the national level not occupied by specialists in PSA is 25.1% (IC 95: 24,1 a 26,4%), there is a lot of variability among regions and provinces, ranging from 48.97% in the Balearic Islands to 0% in La Rioja. With data on the age obtained from 47% of the places, a quarter of the pediatricians are over 60 years old and 40% are more than 55. Regarding the hours of care, with data collected from 72,1% of the places, a 42,2% of the PAP works in the mornings, 29,9% in the morning and one evening per week and 27,8% in a higher percentage of evenings.
Conclusions: there is a deficit of PAP and a forecast that this deficit will increase. The health authorities have to make an effort in the MIR training and they have to make PAP seats more attractive for new specialists, favoring training, research and decreasing 30% of exclusive or predominant evening schedules.
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