TY - JOUR T1 - Workforce capacity for the care of patients with kidney failure across world countries and regions JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2020-004014 VL - 6 IS - 1 SP - e004014 AU - Parnian Riaz AU - Fergus Caskey AU - Mark McIsaac AU - Razeen Davids AU - Htay Htay AU - Vivekanand Jha AU - Kailash Jindal AU - Min Jun AU - Maryam Khan AU - Adera Levin AU - Meaghan Lunney AU - Ikechi Okpechi AU - Roberto Pecoits-Filho AU - Mohamed A Osman AU - Tushar Vachharajani AU - Feng Ye AU - David Harris AU - Marcello Tonelli AU - David Johnson AU - Aminu Bello Y1 - 2021/01/01 UR - http://gh.bmj.com/content/6/1/e004014.abstract N2 - Introduction An effective workforce is essential for optimal care of all forms of chronic diseases. The objective of this study was to assess workforce capacity for kidney failure (KF) care across world countries and regions.Methods Data were collected from published online sources and a survey was administered online to key stakeholders. All country-level data were analysed by International Society of Nephrology region and World Bank income classification.Results The general healthcare workforce varies by income level: high-income countries have more healthcare workers per 10 000 population (physicians: 30.3; nursing personnel: 79.2; pharmacists: 7.2; surgeons: 3.5) than low-income countries (physicians: 0.9; nursing personnel: 5.0; pharmacists: 0.1; surgeons: 0.03). A total of 160 countries responded to survey questions pertaining to the workforce for the management of patients with KF. The physicians primarily responsible for providing care to patients with KF are nephrologists in 92% of countries. Global nephrologist density is 10.0 per million population (pmp) and nephrology trainee density is 1.4 pmp. High-income countries reported the highest densities of nephrologists and nephrology trainees (23.2 pmp and 3.8 pmp, respectively), whereas low-income countries reported the lowest densities (0.2 pmp and 0.1 pmp, respectively). Low-income countries were most likely to report shortages of all types of healthcare providers, including nephrologists, surgeons, radiologists and nurses.Conclusions Results from this global survey demonstrate critical shortages in workforce capacity to care for patients with KF across world countries and regions. National and international policies will be required to build a workforce capacity that can effectively address the growing burden of KF and deliver optimal care. ER -