Anaesthesia Health Education England South London, London, UK.
Anaesthesia Related Professionals Committee, London, UK.
Int J Health Plann Manage. 2022 Sep;37(5):2767-2778. doi: 10.1002/hpm.3502. Epub 2022 Jun 12.
Anaesthesia Associates have been established in the UK for over 10 years, but without statutory regulation. Renewed interest surfaced based on a widening gap between patient need and workforce supply in the UK and established advanced practice non-doctor roles within healthcare systems elsewhere. However, there are no robust data on their impact on patient or hospital outcomes, or training opportunities for medical anaesthetists, and perceptions of the profession within the anaesthetic community are mixed. This paper describes an investigation into the demographics and scope of practice of Anaesthesia Associates in the UK in 2017, and the experience of working together as an anaesthetic team. Through qualitative interviews, we explored the role and relationships, the impact on medical anaesthetic training and ideas about future development. The overall experience of working with Anaesthesia Associates was positive. Successful integration requires understanding of the educational needs and competencies of all. Future development relies on strong leadership and robust patient outcome and efficiency measures. Interviewees strongly supported statutory regulation, which was agreed by the government in 2019 but not yet implemented. Anaesthesia Associates were seen as a benefit to anaesthetic departments and as such may provide part of the solution to the prevailing workforce issues in UK Anaesthesia, further critically challenged by the SARS-CoV-2 pandemic.
麻醉师助理在英国已经存在了 10 多年，但没有法定监管。基于英国患者需求与劳动力供应之间的差距不断扩大，以及其他医疗保健系统中已确立的高级实践非医生角色，人们对他们重新产生了兴趣。然而，关于他们对患者或医院结果的影响，或对医学麻醉师的培训机会，以及麻醉界对该职业的看法，都没有可靠的数据。本文描述了 2017 年对英国麻醉师助理的人口统计学和实践范围的调查，以及作为麻醉团队一起工作的经验。通过定性访谈，我们探讨了角色和关系、对医学麻醉培训的影响以及对未来发展的想法。与麻醉师助理合作的总体经验是积极的。成功的整合需要了解所有人的教育需求和能力。未来的发展依赖于强有力的领导力和强大的患者结果和效率措施。受访者强烈支持法定监管，政府已于 2019 年同意，但尚未实施。麻醉师助理被认为对麻醉部门有益，因此可能是解决英国麻醉师目前劳动力问题的部分解决方案，而 SARS-CoV-2 大流行进一步对该问题提出了严峻挑战。
