Bulletin of the World Health Organization

Forecasting the global shortage of physicians: an economic- and needs-based approach

Richard M Scheffler, Jenny X Liu, Yohannes Kinfu, Mario R Dal Poz

Volume 86, Number 7, July 2008, 516-523

Table 1. Projected supply of, need for and demand for physicians, by WHO region, 2015

WHO region Supplya
Needb
Demandc
(1000s)d (1000s)d Surplus (+) orshortage (−)d,e (1000s) Surplus (+) orshortage (−)d,f
African 255 422 −167 144 111
(208–329) (377–469) (−213 – −122) (131–159) (96–124)
Americas 2773 538 2235 1885 888
(2 509–3 120) (481–599) (2 174–2 293) (1 620–2 196) (578–1 153)
Eastern Mediterranean 1077 308 769 520 557
(914–1 297) (275–343) (734–802) (442–612) (465–635)
European 3222 480 2742 2913 309
(3 015–3 449) (429–534) (2 687–2 793) (2 615–3 259) (−38–607)
South-East Asia 1067 987 80 910 157
(931–1 225) (882–1 097) (−30–186) (718–1 155) (−87–350)
Western Pacific 4256 1016 3240 4432 −176
(3 853–4 883) (907–1 130) (3 126–3 348) (3 107–6 347) (−2 092–1 148)

World 12 650 3 752 8 898 10 804 1 846
(11 430–14 303) (3 351–4 171) (8 478–9 299) (8 633–13 728) (−1 078–4 017)

a Supply is projected based on the historical growth of physicians per capita in each country.b Need is assessed based on reaching the goal of 80% of live births attended by a skilled health-care worker.c Demand is projected based on economic growth (both historical and projected) of each country.d Values in parentheses are 95% confidence intervals.e Surplus (shortage) is calculated as mean projected supply minus estimated need. High and low estimates reflect the 95% confidence interval of the needs-based estimated 80% coverage attainment level.f Surplus (shortage) is calculated as mean projected supply minus estimated demand. High and low estimates reflect the 95% confidence interval of the demand-based estimated coefficients.