[Distribution of pulmonologists and chest surgeons in Spain].
OBJECTIVE
To study the real situation of respiratory medicine specialists and chest surgeons in the Spanish health service.


METHODS
Using the database of the secretary of the Spanish Society of Respiratory Medicine and Chest Surgery (SEPAR) for 1999, we gathered data on 326 Spanish hospitals. We were thus able to ascertain the level of staffing of respiratory medicine and chest surgery departments. The results were expressed as simple percentages showing distribution by age, duties and geographic area. The number of specialists per 100,000 inhabitants in each community was also calculated based on population data provided by the National Statistics Institute for 1997.


RESULTS
We studied 1,786 physicians or surgeons (1,245 pneumologists, 185 surgeons and 356 from other specialties). The mean age was 41 9 years for pneumologists, 44 10 years for surgeons and 51 8 years for the others. We observed unequal distribution by geographic area, with a high of 6.66 pneumologists and 0.9 surgeons per 100,000 inhabitants in Asturias and Madrid, respectively and a low of 1.4 pneumologists per 100,000 inhabitants in Murcia and 0 surgeons in Extremadura.


CONCLUSIONS
Specialist coverage by pneumologists and chest surgeons is inadequate in many provinces and communities in Spain. The professional market is not saturated, indicating that future specialists can look forward to market demand.
Soto Campos
J G
JG
Alvarez Gutiérrez
F J
FJ
Abad Cabaco
F
F
Carboneros de la Fuente
F
F
Durán Cantolla
J
J
Freixenet Gilart
J
J
Lamela López
J
J
Márquez Pérez
F L
FL
Montemayor Rubio
T
T
Macián Gisbert
V
V
Pino García
J M
JM
D000328:Adult; D003627:Data Interpretation, Statistical; D006801:Humans; D008875:Middle Aged; D010820:Physicians / Q000600:supply & distribution*; D015272:Pulmonary Medicine; D013030:Spain; D013903:Thoracic Surgery; D000078329:Workforce