peru
Population (2022): 33 397 000 M
Income per Capita (2022): S/ 16 523.31
Percentage of GDP on Healthcare (2022): 4.16%%
training
Year of family medicine established: 1989
Type of Training: Specialization or Residency Program
Length of Training: 7 years of undergraduate, 1 year of medical social service, 3 years of training program specialization or residency
Number of institutions that offer family medicine: 18 Institutions offer family medicine training.
Number of family medicine residents graduating each year: 100-200
practice
Number of family doctors: 960 (10% more, however some do not register)
Physician to population ratio: 1 doctor for every 362 population. By 2021, there are 14 doctors for every 10,000 inhabitants(can ask for any doctor, not registered for one).
DALY: As of 2016, there are 5,315,558 Lost Healthy Years (NOTICE) to predominance of years lost due to disability (AVD), than 58.7% (3,120,232,546)
Life Expectancy:
Females 2020: 79.8 years
Males 2020: 74.5 years
Mortality rate 2020:
2020 Males: 142 per 1,000 male adults.
2020 Females: 82 per 1,000 female adults.
Infant Immunization-HepB3: % of 1-year-old children received: 72%
College of Family Physicians (Y or N):
No
healthcare system
Peru has a mixed healthcare system. Family medicine is recognized by multiple insurers and providers, though 20% of the population remain without coverage. Additionally, in terms of the population, they do not have a lot of knowledge on family physicians, though all residency’s in Peru are publicly funded by the government. Many individuals request a different physician as they are more aware of their practice.
Training:
In Peru only 18 of the 50 medical schools of Peru They have a program of specialty in Family Medicine, where the formation time is 3 years, through the Residentate; In addition, the proportion of physicians residents is less than 5%. According to the System Regulation National Medical Resident (SINAREME), for every 5 residents should have a guardian, on the contrary, the Peruvian reality far from this recommendation.
practice
In addition to family physicians, facilities of social security; pediatricians, gynecologists, GP without training of family medicine. Public systems: nurses and nurse techniciane. Family physicians in Peru are called “medico familiale”, who work in teams in the public system and solo in private system. They do not act as gatekeepers, typically GPs without label are used as gatekeepers in healthcare facilities. In Peru, family physicians work in a community and family model of health delivery in basic teams. In Peru, 70% of physicians of family work in teams in the public sector and only 30% in the private system, where they work in a community and family model of health provision, in teams basics.
References
1. Arya, Neil, Christine Gibson, David Ponka, Cynthia Haq, Stephanie Hansel, Bruce Dahlman, and Katherine Rouleau. 2017. “Family Medicine around the World: Overview by Region: The Besrour Papers: A Series on the State of Family Medicine in the World.” Canadian Family Physician Medecin de Famille Canadien 63 (6): 436–41.
2. Banco Central de Reserva del Perú. (2022). Producto bruto interno por sectores productivos (millones S/ 2007) – PBI. https://estadisticas.bcrp.gob.pe/estadisticas/ series/anuales/resultados/PM05000AA/html
3. Bermúdez-García, A., Allagual de la Quintana, A., & Farfán-Delgado, F. (2020). Educación médica en Perú. FEM: Revista de La Fundación Educación Médica, 23(1), 5– 8. https://doi.org/10.33588/fem.231.1041
4. Colegio Médico del Perú. (2022). Conoce a tu médico. https://www.cmp.org.pe/conocea-tu-medico/
4. Consejo Nacional de Residentado Médico. (2022). Estándares mínimos de formación Medicina Familiar y Salud Comunitaria. https://www.conareme.org.pe/web/estandar es-de-formacion-CONAREME.php
2. Cuba, Sofia, MD, interview by Jenna Lazarou, December 3rd, 2018
3. “Current Health Expenditure (% of GDP) | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SH.XPD.CHEX.GD.ZS.
4. “Facultad de Medicina - Universidad de Panamá.” n.d. Accessed December 2, 2018. http://www.up.ac.pa/portalup/facmedicina.aspx?menu=99.
5. Goicochea Ríos, E. del S., & Egúsquiza Ortega, M. R. (2007). Medicina familiar en Perú. Atención Primaria, 39(7), 377–378. https://doi.org/10.1157/13107727
5. Instituto Nacional de Estadística e Informática. (2022). Principales indicadores: población total estimada. https://www.inei.gob.pe/
7. IPAE Asociación Empresarial. (2021) NOTA DE PRENSA - #CADEejecutivos: “En Perú hay 14 médicos por cada 10,000 habitantes, la cifra más baja en Latinoamérica”. https://www.ipae.pe/notade-prensa-cadeejecutivos-en-peru-hay-14- medicos-por-cada-10000-habitantes-lacifra-mas-baja-en-latinoamerica/
6. Ministerio de Economía y Finanzas. (2022). Guía de orientación al ciudadano del presupuesto público 2022. https://www.mef.gob.pe/guia-presupuestopublico-2022/
7. Ministerio de Salud. (2018). Carga de enfermedad en el Perú: Estimación de los años de vida saludables perdidos 2016. https://www.gob.pe/institucion/minsa/infor mes-publicaciones/276778-carga-deenfermedad-en-el-peru-estimacion-de-losanos-de-vida-saludables-perdidos-2016
7. Penny, E., & Collins, J. A. (2018). Educación médica en el Perú. Educación Médica, 19(S1), 47–52. https://doi.org/10.1016/j.edumed.2018.03.0 09
6. “Population, Total | Data.” n.d. Accessed December 16, 2018. https://data.worldbank.org/indicator/SP.POP.TOTL.
8. Romero-Albino, Zoila, & Cuba-Fuentes, María Sofía. (2019). Medicina familiar y comunitaria en el Perú: 30 años de la especialidad en personas, familias y comunidades Family and community medicine in Peru: 30 years of specialization in persons, families and communities. Anales de la Facultad de Medicina, 80(4), 511-514. https://dx.doi.org/10.15381/anales.v80i4.16 570
7. Sociedad Peruana de Medicina Familiar y Comunitaria. (2015). Acta de constitución de la SOPEMFYC. https://sopemfyc.org/sopemfyc/estatutos/
8. The World Bank. (2022). Mortality rate, adult, male (per 1,000 male adults) – Peru. https://data.worldbank.org/indicator/SP.DY N.AMRT.MA?locations=PE.
9. The World Bank. (2022). Mortality rate, adult, female (per 1,000 female adults) – Peru. https://data.worldbank.org/indicator/SP.DY N.AMRT.FE?locations=PE.
10. The World Bank. (2022). Immunization, HepB3 (% of one-year-old children) - Peru https://data.worldbank.org/indicator/SH.IM M.HEPB?end=2020&locations=PE&start= 2003&view=chart.
7. “TRADING ECONOMICS | 20 Million INDICATORS FROM 196 COUNTRIES.” n.d. Accessed December 16, 2018. https://tradingeconomics.com/.