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.
Anesth Analg. 2024 Jul 1;139(1):15-24. doi: 10.1213/ANE.0000000000006836. Epub 2024 Mar 12.
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.
全球麻醉师资源短缺。2016 年，世界麻醉师协会联合会（WFSA）进行了一项调查，以统计全球麻醉师的数量。自那时以来，已经开展了大量工作来加强麻醉师卫生人员队伍。本研究更新了全球麻醉师数量的统计数据。
在 2021 年至 2023 年期间，向各国的医师麻醉师（PAP）、护士麻醉师和其他非医师麻醉师（NPAP）专业协会发送了电子调查。数据包括从业人员和学员数量、女性比例以及有限的重症监护室（ICU）容量数据。按国家、世界银行收入组和世界卫生组织（WHO）区域计算了描述性统计数据。每 10 万人中麻醉师的数量表示为麻醉师密度。
对 193 个联合国（UN）成员国中的 172 个国家做出了回应。全球麻醉师密度为 8.8（PAP 为 6.6，NPAP 为 2.3）。76 个国家的 PAP 密度<5，而 66 个国家的总麻醉师密度<5。除高收入和低收入国家以及非洲区域外，PAP 密度在各地均有所增加。
全球麻醉师队伍的总体规模随着时间的推移而增加，尽管一些国家的规模有所缩小。人口增长和计数的不同类型的提供者可以对提供者密度产生重要影响。需要做更多的工作来定义适当的指标来衡量密度的变化，描述麻醉师队伍，并改进劳动力数据收集流程。必须紧急继续扩大麻醉师培训规模。
