Egger Halbeis C B, Cvachovec K, Scherpereel P, Mellin-Olsen J, Drobnik L, Sondore A
Stanford University School of Medicine, Department of Anesthesiology, Stanford, CA 94305-H5640, USA.
Eur J Anaesthesiol. 2007 Dec;24(12):991-1007. doi: 10.1017/S0265021507000762. Epub 2007 Jul 3.
The European anaesthesia workforce is facing increased demand and expansion of the labour market, which may likely exceed supply. This survey assesses the numbers and practice patterns of anaesthesiologists and studies migration and shortage of the anaesthesia workforce in Europe.
A questionnaire was sent to all national European anaesthesia societies. Countries were grouped according to their relationship with the European Union.
The number of anaesthesiologists per 100,000 population varies between 2.7 (Turkey) and 20.7 (Estonia). There seems to be no clear evidence for feminization of the anaesthesia workforce. Anaesthesia physician training lasts between 3 yr (Armenia, Belarus, Uzbekistan) and 7 yr (Ireland, UK), and seems to positively correlate with the number of trainees. Throughout Europe, anaesthesiologists typically work in public practice, and are involved in the entire care chain of surgical patients (anaesthesia, intensive care, chronic pain and pre-hospital emergency medicine). The differences between European salaries for anaesthesiologists are up to 50-fold. Most Western European countries are recipients of migrating anaesthesiologists who often originate from the new member states of the European Union. However, it seems that expectations about anaesthesia workforce shortages are not confined to Eastern Europe.
Each European country has its own unique workforce constellation and practice pattern. Westward migration of anaesthesiologists from those countries with access to the European Union labour market may be explained by substantial salary differences. There is a European-wide lack of systematic, comparable data about the anaesthesia workforce, which makes it difficult to accurately assess the supply of anaesthesiologists.
欧洲麻醉专业劳动力面临着不断增长的需求以及劳动力市场的扩张，这可能导致供不应求的局面。本次调查评估了欧洲麻醉医生的数量和执业模式，并研究了欧洲麻醉专业劳动力的迁移和短缺情况。
向所有欧洲国家麻醉学会发送了一份调查问卷。根据与欧盟的关系对各国进行了分组。
每10万人口中麻醉医生的数量在2.7（土耳其）至20.7（爱沙尼亚）之间。麻醉专业劳动力似乎没有明显的女性化迹象。麻醉医生培训时长在3年（亚美尼亚、白俄罗斯、乌兹别克斯坦）至7年（爱尔兰、英国）之间，且似乎与学员数量呈正相关。在整个欧洲，麻醉医生通常在公立医院工作，并参与手术患者的整个护理链（麻醉、重症监护、慢性疼痛和院前急救医学）。欧洲麻醉医生的薪资差异高达50倍。大多数西欧国家是麻醉医生移民的接收国，这些移民往往来自欧盟新成员国。然而，似乎对麻醉专业劳动力短缺的预期并不局限于东欧。
每个欧洲国家都有其独特的劳动力构成和执业模式。来自那些能够进入欧盟劳动力市场国家的麻醉医生向西迁移，可能是由于薪资差异巨大。欧洲范围内缺乏关于麻醉专业劳动力的系统、可比数据，这使得难以准确评估麻醉医生的供应情况。
