The Risk of the Outflow of Doctors and IT/ICT ... - Outlook Web App
The Risk of the Outflow of Doctors and IT/ICT ... - Outlook Web App
The Risk of the Outflow of Doctors and IT/ICT ... - Outlook Web App
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increasing at <strong>the</strong> same tempo. <strong>The</strong> average annual increase in <strong>the</strong> number <strong>of</strong> registered doctors<br />
in this period is 338 people.<br />
<strong>The</strong> total number <strong>of</strong> dentists has been increasing at an average rate <strong>of</strong> 1% annually since<br />
1998. It has been shown that this rate <strong>of</strong> growth is insufficient <strong>and</strong> results in <strong>the</strong> aging <strong>of</strong> <strong>the</strong><br />
entire basic group.<br />
Roughly 50% <strong>of</strong> <strong>the</strong> doctors provide primarily outpatient care (general practitioners for adults,<br />
children <strong>and</strong> youth, gynaecologists <strong>and</strong> dentists), o<strong>the</strong>rs work as outpatient specialists (50% at<br />
inpatient facilities, 50% in independent outpatient facilities, primarily surgeries).<br />
<strong>The</strong> analysis <strong>of</strong> <strong>the</strong> age cohorts <strong>of</strong> doctors shows that up to 2002 <strong>the</strong>re were decreases in age<br />
cohorts, <strong>and</strong> thus departures <strong>of</strong> doctors from records. <strong>The</strong>y apparently left to o<strong>the</strong>r jobs or to<br />
o<strong>the</strong>r countries. It turns out <strong>the</strong> both male <strong>and</strong> female doctors behaved similarly.<br />
Since 2003 doctors appeared in some cohorts that were not <strong>the</strong>re five years ago, <strong>and</strong> more<br />
doctors are applying to <strong>the</strong> registries in <strong>the</strong>se cohorts than <strong>the</strong>y are decreasing from <strong>the</strong>m. <strong>The</strong><br />
main source <strong>of</strong> increases in middle <strong>and</strong> higher age cohorts are evidently foreign doctors,<br />
around three hundred <strong>of</strong> which are increasing in <strong>the</strong> records each year. We do not know <strong>the</strong>ir<br />
age structure, <strong>and</strong> so we cannot assign <strong>the</strong>m to <strong>the</strong> age cohorts. <strong>The</strong> increases can also be<br />
made up <strong>of</strong> doctors that worked outside <strong>of</strong> <strong>the</strong> sector, or that returned from abroad.<br />
<strong>The</strong> source <strong>of</strong> <strong>the</strong> increases in <strong>the</strong> first two age cohorts are mainly graduates <strong>of</strong> medical<br />
faculties, domestic students <strong>and</strong> foreign students.<br />
Decreases in <strong>the</strong> higher age categories are caused by doctors entering retirement, women<br />
earlier than men. Male doctors are newly getting into <strong>the</strong> records after 65 years <strong>of</strong> age.<br />
An influx <strong>of</strong> foreign doctors is flowing into <strong>the</strong> Czech healthcare system. <strong>The</strong>ir number is<br />
increasing. It reached a growth rate <strong>of</strong> 22.5% between 2003 <strong>and</strong> 2006 <strong>and</strong> <strong>the</strong> increase<br />
amounted to 695 doctors in absolute terms between <strong>the</strong>se years, an average <strong>of</strong> 232 people<br />
annually. A great majority <strong>of</strong> <strong>the</strong> doctors are from Slovakia.<br />
<strong>The</strong> numbers <strong>of</strong> medical faculty graduates from <strong>the</strong> year 2000 ranges between 716 <strong>and</strong> 874<br />
people. If we consider that <strong>the</strong> decrease from <strong>the</strong> oldest cohorts 55 years <strong>of</strong> age <strong>and</strong> older<br />
toge<strong>the</strong>r with <strong>the</strong> entire cohort <strong>of</strong> 70-year-olds <strong>and</strong> older amounts to almost 400 people<br />
annually in <strong>the</strong> last 5 years, <strong>the</strong> graduates can easily replace <strong>the</strong>m.<br />
<strong>The</strong> number <strong>of</strong> dentistry graduates has stabilised around 117 people, which soon causes<br />
o<strong>the</strong>r decreases <strong>of</strong> <strong>the</strong> total number <strong>of</strong> dentists if we consider that <strong>the</strong> average annual decrease<br />
in <strong>the</strong> last 3 years for those 55 years old <strong>and</strong> older amounted to 187 people <strong>and</strong> is continually<br />
increasing with regard to <strong>the</strong> age structure <strong>of</strong> dentists.<br />
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