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Revista Médica del Uruguay
versión impresa ISSN 0303-3295versión On-line ISSN 1688-0390
Resumen
BRIOZZO, Leonel et al. Strategy for the placement of specialists in gynecology and obstetrics in the interior of Uruguay: Decentralization of training environments. Rev. Méd. Urug. [online]. 2025, vol.41, n.1, e501. Epub 31-Ene-2025. ISSN 0303-3295. https://doi.org/10.29193/rmu.41.1.8.
Since the creation of the National Integrated Health System, the crucial importance of equitable distribution of human health resources has been recognized to ensure quality care throughout the country. Improving the equitable distribution of human health resources remains an ongoing challenge for Uruguay. The decentralization of specialist training in rural areas of the country is a relevant issue to improve the equity and accessibility of the health system.
Objective:
To analyze the impact of the decentralization plan (2010–2024 period) of the training provided by the Academic Unit of Gynecology and Obstetrics A on the placement of professionals in rural areas of the country.
Methodology:
A cross-sectional observational study was conducted using a survey in June 2024, developed by the authors using Google Forms to collect data to meet the objective: origin, age, gender, children, place of residency training, year of admission, reasons for the choice of location after completing postgraduate studies, and place of professional practice.
Results:
A total of 134 responses were obtained from 135 residents who graduated during this period. Of the respondents, 61.2% trained in Montevideo, while 38.8% trained in rural areas. Of the residents who trained in rural areas, 70% settled in those areas. Among the 56 residents trained in rural teaching centers, 90% (51 residents) currently work in rural areas. Meanwhile, 62.8% of the specialists trained in Montevideo work exclusively in the capital, and 24.3% work both in Montevideo and rural areas.
Conclusions:
The decentralization plan for gynecology training has demonstrated the training capacity of public and private centers in rural areas of the country and has facilitated the placement of specialists, thereby addressing the need for specialized resources in the field.
Palabras clave : Human health resources; Placement; Medical education.
