Ortodonci W Polsce I W Województwie Lubelskim Orthodontists in Poland

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Ortodonci W Polsce I W Województwie Lubelskim Orthodontists in Poland 2005 Prace oryginalne Original papers 2005 tom 1 nr 4 volume 1 no 4 Ortodonci w Polsce Orthodontists in Poland and i w województwie lubelskim in Lublin voivodeship ABDEF Izabella Dunin-Wilczyńska* Wkład autorów Authors' Contribution A - Plan badań A - Study Design B - Zbieranie danych B - Data Collection C - Analiza statystyczna C - Statistical Analysis D - Interpretacja danych D - Data Interpretation E - Redagowanie pracy E - Manuscript Preparation F - Wyszukiwanie piśmiennictwa F - Literature Search Katedra i Zakład Ortopedii Szczękowej Aka- Chair and Jaw Orthopedic Departament Medi- demii Medycznej w Lublinie cal University of Lublin Streszczenie Abstract CEL: w świetle pojawiających się w środowisku obaw, AIM: to assess whether the orthodontic manpower is czy ortodontom grozi bezrobocie celem pracy było przed- sufficient in Poland with particular focus on the Lublin stawienie aktualnej liczby ortodontów, ich wieku i roz- region, the number of orthodontists, their age and distribu- mieszczenia na terenie województwa lubelskiego. tion was analyzed and the prognosis concerning possible MATERIAŁ I METODY: materiał stanowiły dane z Rocz- unemployment among orthodontists was performed. MA- nika Statystycznego Rzeczpospolitej Polskiej 2003 na te- TERIAL AND METHODS: the material included Polish mat liczby ludności polskiej ogółem i z podziałem na Statistical Annals for the year 2003, data from the Main województwa; dane z Głównego Urzędu Statystycznego, Statistical Department, data from the Central Register of dane z Centralnego Rejestru Specjalistów prowadzonego Specialists kept by the Doctors Chamber and the report of przez Izby Lekarskie. Do porównań wykorzystano raport EFOSA concerning orthodontic manpower within Europe. EFOSA, zawierający ocenę sytuacji w krajach Unii Euro- RESULTS: in Poland, with the population over 38 million pejskiej. WYNIKI: W Polsce przy populacji liczącej 38 and the number of specialists of 795, the orthodon- milionów jest 795 ortodontów, a na jednego ortodontę przy- tist:population ratio is 1:48073. In the Lublin region there pada 48 073 osób. W województwie lubelskim pracuje 57 are 57 orthodontists working full-time and the ratio is ortodontów, a stosunek liczby mieszkańców na jednego 1:38543. The distribution of specialists in the Lublin re- ortodontę wynosi jak 1:38 543. Rozmieszczenie ortodon- gion is uneven. The largest number works in large towns: tów na terenie województwa lubelskiego jest nierównomier- 33 specialists - 54.3% of all the orthodontists in the voivode- ne przy czym najwięcej ortodontów pracuje w dużych ship work in Lublin. The biggest group of orthodontists is miastach. W stolicy regionu (Lublinie) mieszka 33 specja- that of 35 to 40-year-olds. Markedly smaller are groups of listów, co stanowi 54,3% ogólnej liczby ortodontów w tym 50 to 60-year-olds and the younger 29 to 35-year-olds. The __________ *adiunkt, assistant professor Adres autorów, Author's Address: ul.Karmelicka 7, 20-081 Lublin, Poland, tel.: (081) 532-76-46, e-mail: [email protected] 111 2005 Prace oryginalne Original papers 2005 tom 1 nr 4 volume 1 no 4 województwie. Pod względem wieku najliczniejszą grupę amount of younger specialists is lower than the amount of stanowią ortodonci między 35-40 rokiem życia. Znacznie those who retire. In the Lublin region the ratio is more mniej liczne są roczniki 50 i 60-latków, a także osoby naj- favourable. CONCLUSIONS: the number of specialists in młodsze od 29 do 35 roku życia. Liczba najmłodszych spe- Poland doubled during the past fifteen years. A gradual cjalistów jest w Polsce mniejsza niż liczba odchodzących decline in the youngest groups of specialists has been noted na emeryturę ale w województwie lubelskim stosunek ten recently but not in the Lublin region. The distribution of jest korzystniejszy, gdyż najmłodsi ortodonci przewyższają orthodontists in the Lublin voivodeship is uneven and con- liczbowo ortodontów najstarszych. WNIOSKI: Liczba spe- centrates around bigger towns. And only in the capital of cjalistów ortodontów w Polsce podwoiła się w ciągu ubie- the region orthodontists might find it difficult to get em- głego piętnastolecia. Ostatnio w skali całego kraju spadła ployed. (Orthod. Forum 2005; 1:111-17) liczba młodych specjalistów ortodontów, ale nie na Lu- belszczyźnie. Rozmieszczenie ortodontów w województwie KEY WORDS: lubelskim jest nierównomierne i głównie koncentruje się orthodontists in Poland w Lublinie. I tylko w stolicy regionu można przewidywać orthodontists in Lublin voivodeship trudności w znalezieniu pracy przez ortodontów. (Forum ratio of orthodontists/ population Ortod. 2005; 1:111-17) Introduction SŁOWA KLUCZOWE: liczba ortodontów w Polsce While in terms of population, Poland, with over 38 liczba ortodontów w województwie lubelskim million inhabitants, is the sixth largest country in the Euro- liczba mieszkańców a liczba ortodontów pean Union and the number of full-time orthodontists puts the country in the fourth position. In the previous econom- Wstęp ic and political system the methods of orthodontic treat- ment were few, usually limited to monoblocks and plates. Polska, to obecnie ponad 38 milionowy kraj, który pod As the results of treatment were often unsatisfactory, there względem liczby ludności zajmuje szóste miejsce w Unii were no sufficient numbers of trainees willing to specialize Europejskiej, a pod względem liczby ortodontów pracują- in orthodontics. In the early 1990s, the country of 39 mil- cych w pełnym wymiarze znajduje się na czwartym miej- lion people had only 340 orthodontists, which meant that scu. the orthodontist:patient ratio was 1 to 112 000 (1). W poprzednim systemie polityczno-gospodarczym pol- The situation changed essentially under the new social ski ortodonta dysponował bardzo ograniczonymi sposobami and economic system introduced after 1989. As fixed ap- leczenia, najczęściej były to monobloki i płyty ortodon- pliances, not demanding a high level of cooperation be- tyczne, a wyniki pracy często nie dawało satysfakcji. W re- came more popular, the effects of orthodontic treatment zultacie nie było chętnych do specjalizowania się promptly became more satisfactory both for patients and w ortodoncji i w 39 milionowym kraju, jakim była Polska for doctors. What followed, was an increased interest in the na przełomie lat 90. liczba ortodontów wynosiła 340, czyli specialization in orthodontics among general dentists, fur- na jednego ortodontę przypadało 112 tys. mieszkańców (1). ther enhanced by the possibility of opening a private prac- Sytuacja uległa radykalnej zmianie po wprowadzeniu tice, promptly embraced by a number of specialists. Within nowych reguł życia społeczno-ekonomicznego po roku the last fifteen years, the number of orthodontists doubled 1989.Ogromną popularnością zaczęły się cieszyć stałe apa- and the previously unknown phenomenon of professional raty ortodontyczne nie wymagające wysokiego poziomu competition emerged. The increasing number of special- współpracy, które w szybkim czasie przynosiły efekty sa- ists resulted in growing concerns about incomes from pri- tysfakcjonujące zarówno pacjentów jak ortodontów. Zain- vate practices among orthodontists. Organizers of health teresowanie specjalizacją w dziedzinie ortodoncji wybitnie service are expected to assess the number of orthodontists wzrosło, zwłaszcza że pojawiła się możliwość otwierania in given area and anticipate whether it is adequate, too high gabinetów prywatnych, z której skorzystało liczne grono or too low at presence and in the future. The aim of the specjalistów. W minionej dekadzie liczba specjalistów or- project was to give accurate details concerning the number todontów uległa podwojeniu i zarysował się przedtem of practitioners, with particular focus on the Lublin region. w Polsce nieznany problem konkurencji zawodowej. Ostat- To provide a correct prognosis concerning orthodontic nio w środowisku ortodontów coraz częściej wyrażane jest manpower, the author – an orthodontic consultant for the zaniepokojenie rosnącą liczbą specjalistów. Zadaniem or- Lublin voivodeship, analysed the number of orthodontists, ganizatorów lecznictwa stało się określenie liczby ortodon- their age as well as their distribution to assess whether or- tów na danym terenie i ustalenie, czy jest ona wystarczająca, thodontists do not face unemployment in the future. za mała czy za duża obecnie i w perspektywie nadchodzą- cych lat. Celem pracy było przedstawienie aktualnej liczby Material and methods ortodontów ze szczególnym uwzględnieniem wojewódz- twa lubelskiego. Aby dokonać prognozowania zapotrze- The material used in the research included Polish Sta- bowania na kadry ortodontyczne w tym regionie, autorka tistical Annals for the year 2003 (2) containing details of jako konsultant wojewódzki postanowiła sprawdzić liczeb- 112 2005 Prace oryginalne Original papers 2005 tom 1 nr 4 volume 1 no 4 ność grup wiekowych ortodontów, podać ich rozmieszcze- the Poland’s population in general and its distribution with- nie, a także ocenić czy ortodontom nie grozi bezrobocie. in individual regions; data from the Main Statistical De- partment, detailing the categorization of the population Materiał i metody with respect to gender, age, and place of living in towns; data from the Central Register of Specialists kept by the Doctors Chamber including data about registered ortho- Materiał stanowiły dane z Rocznika Statystycznego dontists in individual regions of the country and study on Rzeczpospolitej Polskiej, rok 2003 (2) na temat liczby lud- the demand
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