Closing the Chasm: Understanding and Addressing the Anesthesia Workforce Supply and Demand Imbalance

被引:22
作者
Abouleish, Amr E. [1 ]
Pomerantz, Paul [2 ]
Peterson, Mary Dale [3 ]
Cannesson, Maxime [4 ]
Akeju, Oluwaseun [5 ]
Miller, Thomas R. [6 ]
Rathmell, James P. [7 ,8 ]
Cole, Daniel J. [4 ]
机构
[1] Univ Texas Med Branch, Dept Anesthesiol, Galveston, TX 77555 USA
[2] Amer Soc Anesthesiologists, Chicago, IL USA
[3] Driscoll Childrens Hlth Syst, Corpus Christi, TX USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Anesthesiol & Perioperat Med, Los Angeles, CA USA
[5] Harvard Med Sch, Massachusetts Gen Hosp, Dept Anesthesiol Crit Care & Pain Med, Boston, MA USA
[6] Amer Soc Anesthesiologists, Ctr Anesthesia Workforce Studies, Schaumburg, IL USA
[7] Brigham & Womens Hosp, Dept Anesthesiol Perioperat & Pain Med, Boston, MA USA
[8] Harvard Med Sch, Dept Anaesthesia, Boston, MA USA
关键词
ARTIFICIAL-INTELLIGENCE; OPERATING-ROOM; SEDATION; IMPLEMENTATION; SUPPORT;
D O I
10.1097/ALN.0000000000005052
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The imbalance in anesthesia workforce supply and demand has been exacerbated post-COVID due to a surge in demand for anesthesia care, especially in non-operating room anesthetizing sites, at a faster rate than the increase in anesthesia clinicians. The consequences of this imbalance or labor shortage compromise healthcare facilities, adversely affect the cost of care, worsen anesthesia workforce burnout, disrupt procedural and surgical schedules, and threaten academic missions and the ability to educate future anesthesiologists. In developing possible solutions, one must examine emerging trends that are affecting the anesthesia workforce, new technologies that will transform anesthesia care and the workforce, and financial considerations, including governmental payment policies. Possible practice solutions to this imbalance will require both short- and long-term multifactorial approaches that include increasing training positions and retention policies, improving capacity through innovations, leveraging technology, and addressing financial constraints. The anesthesia workforce supply and demand imbalance has reached critical levels. Solutions will require short- and long-term approaches, including increasing the pipeline of the workforce, improving capacity through innovations, leveraging technology, and addressing financial constraints.
引用
收藏
页码:238 / 249
页数:12
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