The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce.


Journal

Anesthesia and analgesia
ISSN: 1526-7598
Titre abrégé: Anesth Analg
Pays: United States
ID NLM: 1310650

Informations de publication

Date de publication:
12 Mar 2024
Historique:
medline: 12 3 2024
pubmed: 12 3 2024
entrez: 12 3 2024
Statut: aheadofprint

Résumé

There is a large global deficit of anesthesia providers. In 2016, the World Federation of Societies of Anaesthesiologists (WFSA) conducted a survey to count the number of anesthesia providers worldwide. Much work has taken place since then to strengthen the anesthesia health workforce. This study updates the global count of anesthesia providers. Between 2021 and 2023, an electronic survey was sent to national professional societies of physician anesthesia providers (PAPs), nurse anesthetists, and other nonphysician anesthesia providers (NPAPs). Data included number of providers and trainees, proportion of females, and limited intensive care unit (ICU) capacity data. Descriptive statistics were calculated by country, World Bank income group, and World Health Organization (WHO) region. Provider density is reported as the number of providers per 100,000 population. Responses were obtained for 172 of 193 United Nations (UN) member countries. The global provider density was 8.8 (PAP 6.6 NPAP 2.3). Seventy-six countries had a PAP density <5, whereas 66 countries had a total provider density <5. PAP density increased everywhere except for high- and low-income countries and the African region. The overall size of the global anesthesia workforce has increased over time, although some countries have experienced a decrease. Population growth and differences in which provider types that are counted can have an important impact on provider density. More work is needed to define appropriate metrics for measuring changes in density, to describe anesthesia cadres, and to improve workforce data collection processes. Effort to scale up anesthesia provider training must urgently continue.

Sections du résumé

BACKGROUND BACKGROUND
There is a large global deficit of anesthesia providers. In 2016, the World Federation of Societies of Anaesthesiologists (WFSA) conducted a survey to count the number of anesthesia providers worldwide. Much work has taken place since then to strengthen the anesthesia health workforce. This study updates the global count of anesthesia providers.
METHODS METHODS
Between 2021 and 2023, an electronic survey was sent to national professional societies of physician anesthesia providers (PAPs), nurse anesthetists, and other nonphysician anesthesia providers (NPAPs). Data included number of providers and trainees, proportion of females, and limited intensive care unit (ICU) capacity data. Descriptive statistics were calculated by country, World Bank income group, and World Health Organization (WHO) region. Provider density is reported as the number of providers per 100,000 population.
RESULTS RESULTS
Responses were obtained for 172 of 193 United Nations (UN) member countries. The global provider density was 8.8 (PAP 6.6 NPAP 2.3). Seventy-six countries had a PAP density <5, whereas 66 countries had a total provider density <5. PAP density increased everywhere except for high- and low-income countries and the African region.
CONCLUSIONS CONCLUSIONS
The overall size of the global anesthesia workforce has increased over time, although some countries have experienced a decrease. Population growth and differences in which provider types that are counted can have an important impact on provider density. More work is needed to define appropriate metrics for measuring changes in density, to describe anesthesia cadres, and to improve workforce data collection processes. Effort to scale up anesthesia provider training must urgently continue.

Identifiants

pubmed: 38470828
doi: 10.1213/ANE.0000000000006836
pii: 00000539-990000000-00788
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Investigateurs

Rudin Domi (R)
Kawsar Sardar (K)
Vera Saldien (V)
Ruben Pineda (R)
Jampel Tshering (J)
Elizabeth Justiniano Zarate (EJ)
Elmedin Dubravac (E)
Luiz Fernando Dos Reis Falcão (L)
Ki Kélan Bertille (KK)
Gilles Eloi Rwibuka (G)
Sophallyda Krouch (S)
Marilia Loizou (M)
Boua Narcisse (B)
Josue Jimenez (J)
Hamilton Lama (H)
Nesrine Refai (N)
Leulayehu Akalu (L)
Kartik Mudliar (K)
Sari Pyhälä (S)
Matti Reinikainen (M)
Decock Nico (D)
Anna Njie (A)
Frederick Kporxah (F)
Anna Malisiova (A)
Maria Mercedes Garcia Robles (MM)
Onica Higgins Gill (O)
Krisztina Madách (K)
Naveen Malhotra (N)
Stephen Okelo (S)
Alisher Agzamov (A)
Iveta Golubovska (I)
Taemane Tekete (T)
Joel Moyo (J)
Youssouf Coulibaly (Y)
Vishaal Kissoon (V)
Cecilia Sandoval Larios (C)
Ganbold Lundeg (G)
Mouhajir Mohamed (M)
Elizabeth Ogboli Nwasor (E)
Aleksandra Gavrilovska-Brzanov (A)
Ramlaa Alqassab (R)
Arvin Karu (A)
Freddy Espinoza (F)
Krzysztof Kusza (K)
Francisco A Lobo (FA)
Șerban-Ion Bubenek-Turconi (ȘI)
Ruhato Banguti Paulin (R)
Nebojsa Ladjevic (N)
Eric Vreede (E)
Yew-Weng Chan (YW)
Marko Zdravkovic (M)
Mubarak Mohamed Jama (M)
Lance Lasersohn (L)
Antonia Ballesteros Barrado (A)
Emilia Guasch (E)
Lomangisi Dlamini-Sserumaga (L)
Owain Thomas (O)
Sabah Alkayali (S)
Hui-Ju Yang (HJ)
Edwin Rwebugisa Lugazia (E)
Suwimon Tangwiwat (S)
Phuping Akavipat (P)
Mingota da Costa Herculano (M)
Sama Doles Hamza (S)
Deryk Chen (D)
Iheb Labbene (I)
Moncef Jendoubi (M)
Samime Durmaz (S)
Fatma Saricaoglu (F)
Ronald Bisegerwa (R)
Jonathan Kim (J)
Ana Schwartzmann (A)
Abel Mwale (A)
Nelly Saunyama Ruvimbo (N)

Informations de copyright

Copyright © 2024 International Anesthesia Research Society.

Déclaration de conflit d'intérêts

Conflicts of Interest: See Disclosures at the end of the article.

Références

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Auteurs

Tyler J Law (TJ)

From the Department of Anesthesia & Perioperative Care, University of California, San Francisco, California.
Center for Health Equity in Surgery and Anesthesia (CHESA), University of California, San Francisco, California.

Michael S Lipnick (MS)

From the Department of Anesthesia & Perioperative Care, University of California, San Francisco, California.
Center for Health Equity in Surgery and Anesthesia (CHESA), University of California, San Francisco, California.

Wayne Morriss (W)

Department of Anaesthesia, University of Otago, Christchurch Hospital, Christchurch, New Zealand.
World Federation of Societies of Anaesthesiologists, London, United Kingdom.

Adrian W Gelb (AW)

From the Department of Anesthesia & Perioperative Care, University of California, San Francisco, California.
Center for Health Equity in Surgery and Anesthesia (CHESA), University of California, San Francisco, California.
World Federation of Societies of Anaesthesiologists, London, United Kingdom.

Jannicke Mellin-Olsen (J)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Anaesthesia, Baerum Hospital, Oslo, Norway.

Daniela Filipescu (D)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Anaesthesiology & Intensive Care, Emergency Institute for Cardiovascular Disease, Bucharest, Romania.
Department of Anaesthesiology & Intensive Care, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.

Jackie Rowles (J)

School of Nurse Anesthesia, Texas Christian University, Fort Worth, Texas.
International Federation of Nurse Anesthetists, Mantes la Jolie, France.

Pascal Rod (P)

International Federation of Nurse Anesthetists, Mantes la Jolie, France.

Fauzia Khan (F)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.

Patrica Yazbeck (P)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Anesthesia, Intensive Care and Pain Management, Hôtel-Dieu University Hospital, Saint Joseph University, Beirut, Lebanon.

Eugene Zoumenou (E)

Department of Anesthesiology, Centre National Hospitalier Universitaire de Cotonou, Cotonou, Benin.

Pedro Ibarra (P)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Anesthesiology, Clinica Reina Sofia, Bogota, Colombia.

Kumudini Ranatunga (K)

World Federation of Societies of Anaesthesiologists, London, United Kingdom.
Department of Cardiothoracic Anesthesia & Intensive Care, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Fred Bulamba (F)

Department of Anaesthesia, Faculty of Health Sciences, Busitema University, Mbale, Uganda.

Classifications MeSH