Canet Jaume, Sabaté Sergi, Gomar Carmen, Castillo Jorge, Villalonga Antonio, Roldán Julián
Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Med Clin (Barc). 2006 May 24;126 Suppl 2:3-12. doi: 10.1157/13088795.
The increasing workload in anesthesiology together with the shortage of anesthetists has led to worldwide concern within the specialty. In 2003, the Catalan Society of Anesthesiology, Critical Care and Pain Therapy undertook the ANESCAT survey to determine the anesthesia practice workload in Catalonia, Spain.
A set of 3 questionnaires was used to quantify anesthesia practice and resources. A sample size of 12,228 events was estimated to be necessary to be representative of the number of anesthetic procedures carried out in Catalonia annually. A prospective, cross-sectional survey was carried out on 14 randomly chosen days in 2003. Each hospital designated a coordinator responsible for ensuring that a questionnaire was filled in for each anesthetic procedure, to provide information about patient characteristics, anesthetic technique, and the intervention for which anesthesia was needed.
All 131 public and private hospitals in which anesthetic procedures were carried out participated. The geographic distribution was as follows: Barcelona city, 54 (41.2%); rest of the province of Barcelona, 39 (29.8%); Tarragona, 15 (11.5%); Girona, 14 (10.7%), and Lleida, 9 (6.9%). A total of 23,136 questionnaires about anesthesia procedures were received; the number of questionnaires returned on the selected workdays varied by 1.85% and the percentage of incomplete returns was less than 5%. The number of individual anesthetists returning questionnaires for processing was 765.
This large-scale study was possible thanks to a simple design and the strong motivation of a community of anesthesiologists. The results have provided an accurate picture of anesthesia practice within a specific geographical area. Such studies are necessary for introducing organizational changes and applying for additional resources.
麻醉学工作量的不断增加以及麻醉医生的短缺已引起全球该专业领域的关注。2003年，加泰罗尼亚麻醉学、重症监护与疼痛治疗协会开展了ANESCAT调查，以确定西班牙加泰罗尼亚地区的麻醉实践工作量。
使用一组3份问卷来量化麻醉实践和资源。估计需要12228例事件的样本量才能代表加泰罗尼亚每年进行的麻醉手术数量。2003年，在随机选择的14天内进行了一项前瞻性横断面调查。每家医院指定一名协调员，负责确保为每例麻醉手术填写一份问卷，以提供有关患者特征、麻醉技术以及需要麻醉的干预措施的信息。
所有进行麻醉手术的131家公立和私立医院均参与其中。地理分布如下：巴塞罗那市，54家（41.2%）；巴塞罗那省其他地区，39家（29.8%）；塔拉戈纳，15家（11.5%）；赫罗纳，14家（10.7%），莱里达，9家（6.9%）。共收到23136份关于麻醉手术的问卷；所选工作日返回的问卷数量相差1.85%，未完整返回的问卷百分比不到5%。返回问卷进行处理的个体麻醉医生数量为765人。
由于设计简单以及麻醉医生群体的强烈积极性，这项大规模研究得以实现。研究结果准确呈现了特定地理区域内的麻醉实践情况。此类研究对于引入组织变革和申请额外资源是必要的。
