Professor and Vice Chair, Faculty Development, Department of Anesthesiology, The University of Texas Medical Branch, Galveston, Texas.
Professor and Chair, Department of Anesthesiology and Pain Management, UT Southwestern Medical Center, Dallas, Texas.
Anesthesiology. 2023 Nov 1;139(5):684-696. doi: 10.1097/ALN.0000000000004722.
Measuring and comparing clinical productivity of individual anesthesiologists is confounded by anesthesiologist-independent factors, including facility-specific factors (case duration, anesthetizing site utilization, type of surgical procedure, and non-operating room locations), staffing ratio, number of calls, and percentage of clinical time providing anesthesia. Further, because anesthesia care is billed with different units than relative value units, comparing work with other types of clinical care is difficult. Finally, anesthesia staffing needs are not based on productivity measurements but primarily the number and hours of operation of anesthetizing sites. The intent of this review is to help anesthesiologists, anesthesiology leaders, and facility leaders understand the limitations of anesthesia unit productivity as a comparative metric of work, how this metric often devalues actual work, and the impact of organizational differences, staffing models and coverage requirements, and effectiveness of surgical case load management on both individual and group productivity.
衡量和比较个体麻醉师的临床生产力会受到麻醉师独立因素的影响，包括特定机构的因素（手术持续时间、麻醉部位利用情况、手术类型和非手术室位置）、人员配备比例、呼叫次数和提供麻醉的临床时间百分比。此外，由于麻醉护理的计费单位与相对价值单位不同，因此难以将其与其他类型的临床护理进行比较。最后，麻醉人员配备需求不是基于生产力测量，而是主要基于麻醉部位的数量和工作时间。本综述的目的是帮助麻醉师、麻醉科领导和医疗机构领导了解麻醉单位生产力作为工作比较指标的局限性，以及该指标如何经常低估实际工作，以及组织差异、人员配备模式和覆盖范围要求以及手术病例量管理对个人和团队生产力的影响。
