Medical Schools in Fragile States: Implications for Delivery of Care
研究分析了脆弱国家（面临严重发展挑战的国家）的医学院数量及其对医疗人力供给的影响，发现脆弱国家更可能拥有少于两所医学院，难以满足人口健康需求。
OBJECTIVE: To report on medical schools in fragile states, countries with severe development challenges, and the impact on the workforce for health care delivery. DATA SOURCES: 2007 and 2012 World Bank Harmonized List of Fragile Situations; 1998-2012 WHO Global Health Observatory; 2014 World Directory of Medical Schools. DATA EXTRACTION: Fragile classification established from 2007 and 2012 World Bank status. Population, gross national income, health expenditure, and life expectancy were 2007 figures. Physician density was most recently available from WHO Global Health Observatory (1998-2012), with number of medical schools from 2014 World Directory of Medical Schools. STUDY DESIGN: Regression analyses assessed impact of fragile state status in 2012 on the number of medical schools in 2014. PRINCIPAL FINDINGS: Fragile states were 1.76 (95 percent CI 1.07-2.45) to 2.37 (95 percent CI 1.44-3.30) times more likely to have fewer than two medical schools than nonfragile states. CONCLUSIONS: Fragile states lack the infrastructure to train sufficient numbers of medical professionals to meet their population health needs.