菲律宾是东南亚的一个中低收入国家，总人口为 1.09 亿，目前尚无研究全面考察其神经外科护理的提供情况。我们的目标是量化菲律宾 17 个地区和 81 个省的神经外科医生的劳动力、绘制分布图并描述其临床实践特征。向菲律宾神经外科医生学院的所有研究员和神经外科培训项目的所有毕业生发送了一项在线调查在国内。从事临床实践至少一年的神经外科医生有资格参加。菲律宾神经外科医生的数据库是通过个人通信、与神经外科部门的通信以及访问公开信息生成的。确定了顶级神经外科手术来估计神经外科疾病的总量。菲律宾有 174 名神经外科医生执业，或者大约每 600 万人就有一名神经外科医生。在9个省份，神经外科医生只能兼职，35个省份根本没有神经外科医生，相当于2400万人口得不到医疗服务。在 99 名受访者中，每月神经外科咨询和手术的中位数分别为 30 次（IQR：35）和 8 次（IQR：8）。顶级的神经外科手术是针对创伤性脑损伤的钻孔/开颅手术、针对中风的开颅手术以及脑肿瘤的活检/切除术。据估计，每年有 93 498 例病例需要进行基本的神经外科手术。尽管菲律宾神经外科医生的数量、分布和构成呈现出积极的趋势，但仍然存在大量的劳动力短缺问题，需要解决这一问题，以提供及时、优质、可靠的服务。为全体人民提供负担得起的神经外科护理。版权所有 © 神经外科医生大会 2023。保留所有权利。

No study has comprehensively examined the delivery of neurosurgical care in the Philippines, a lower-middle-income country in Southeast Asia with a total population of 109 million. We aimed to quantify the workforce, map the distribution, and characterize the clinical practice of neurosurgeons across the 17 regions and 81 provinces of the Philippines.An online survey was sent to all fellows of the Academy of Filipino Neurosurgeons and all graduates of neurosurgical training programs in the country. Neurosurgeons who have been in active clinical practice for at least 1 year were eligible to participate. A database of Filipino neurosurgeons was generated through personal communications, correspondence with neurosurgery departments, and accessing publicly available information. The top neurosurgical procedures were identified to estimate the overall volume of neurosurgical disease.There are 174 neurosurgeons practicing in the Philippines or approximately one neurosurgeon for every 600 000 people. In 9 provinces, neurosurgeons were only available part-time, and 35 provinces had no neurosurgeons at all, equivalent to an underserved population of 24 million people. Among 99 survey respondents, the median numbers of neurosurgical consults and operations every month were 30 (IQR:35) and 8 (IQR:8), respectively. The top neurosurgical procedures were burr holes/craniotomy for traumatic brain injury, craniotomy for stroke, and biopsy/resection of brain tumors. There are an estimated 93 498 cases requiring essential neurosurgery every year.Although positive trends have been observed in the number, distribution, and composition of neurosurgeons in the Philippines, there remains a large workforce deficit that needs to be addressed to provide timely, quality, and affordable neurosurgical care to the entire population.Copyright © Congress of Neurological Surgeons 2023. All rights reserved.