Global distribution of surgeons, anaesthesiologists, and obstetricians

Holmer, Hampus; Lantz, Adam; Kunjumen, Teena; Finlayson, Samuel R.G.; Hoyler, Marguerite; Siyam, Amani; Montenegro, Hernán; Kelley, Edward; Campbell, James; Cherian, Meena; Hagander, Lars

doi:10.1016/s2214-109x(14)70349-3

Cited by 220 publications

(184 citation statements)

References 2 publications

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“…Anaesthesiologists' shortage and surgeons' surplus were severer in higherlevel and larger-size hospitals. According to a recent survey from 167 countries (including China) representing 92% of the global population, there were 1,112,727 surgeons, 483,357 obstetricians, and 550,134 anaesthesiologists (24). The ratio of surgeons plus obstetricians to anaesthesiologists was 2.9 to 1.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia Workforce and Workload in China: A National Survey

Yang¹,

Zhu²,

Li³

et al. 2017

J Anesth Perioper Med

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Background: With the economy growth and medical reform, anaesthesia workforce and workload, as well as for other medical specialties in China changed dramatically, but the detail information have not been presented. A national off-line survey was designed to learn the current status for anaesthesiology, to analyze the related issues for medicine and to make suggestions for government to improve equity and quality of healthcare in China. Methods: From Mar 1 to Jun 30 in 2015, Chinese Society of Anaesthesiologits (CSA) released questionnaires containing hospital general information, anaesthesia-related information and surgical-related information to all the anaesthesiology departments in mainland China, except Hong Kong, Macao and Taiwan of China. Other relative data sources were searched from publications or website. Results: A total of 16280 questionnaires were released and 14076 copies (86.5% ) were retrieved. There were 13489 copies (82.9%) identified as anaesthesia related data copies (ARDC) and 7026 copies (43.2% ) identified as surgical related data copies (SRDC). In 2014, there were 77926 anaesthesiologists and its density was 5.7 per 100,000 population, 27.66 million inside operating room (OR) anaesthesia cases and 11.47 million outside OR anaesthesia cases were done. GDP per capita in each province was positively correlated with densities of physicians, anaesthesiologists and anaesthesia cases. One attending anaesthesiologist covered 634 inside OR and 263 outside OR anaesthesia cases in 2014. In SRDC, attending surgeons to attending anaesthesiologists ratio was 7.5 to 1. Each attending surgeon had 0.93 operation day per week and performed 86 operations in 2014. Generally, the higher-level and largersized hospitals had higher surgeons to anaesthesiologists ratio, higher surgeons to ORs ratio, less operation day per week for one surgeon, more operations and anesthesia cases done by one surgeon and one anaesthesiologist. Conclusions: China has the biggest number of anaesthesiologists in the world, but is still in shortage of anaesthesiologists. Economic level was positively correlated with anaesthesia workforce and anaesthesia service for all provinces in China. Significant misdistribution and imbalance in different provinces, sized hospitals and medical specialties were found in this survey. A national needs-based resident recruitment system along with the set-up of compulsory standardized resident training system should be taken into consideration and action.

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Section: Discussionmentioning

confidence: 99%

Anesthesia Workforce and Workload in China: A National Survey

Yang¹,

Zhu²,

Li³

et al. 2017

J Anesth Perioper Med

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“…24 Although some surgical procedures require highly skilled staff, a specialist surgeon is not required to perform many of the procedures. 2526 Some data show that in several countries in AFRO many essential surgeries are performed by nonspecialists.…”

Section: Actions Proposedmentioning

confidence: 99%

Strengthening surgical and anaesthetic services at district level in the African region: issues, challenges and proposed actions

Ndihokubwayo¹,

Coulibaly²,

Cherian³

et al. 2017

East. Cent. Afr. J. Surg.

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Health care delivery systems are organized at several levels with the district hospital serving as the first referral for comprehensive care in the majority of countries worldwide. The provision of comprehensive surgical services requires several inputs and tools to be in place, among which are an adequately trained surgical, anaesthesia and obstetric healthcare workforce, infrastructure and functioning equipment, and essential medicines and supplies. These, however, are not in place in the majority of commonly received surgical cases, such as trauma, obstetric, abdominal and orthopedic emergencies, thus limiting the capacity of district hospitals to address them. Global and regional public health initiatives have traditionally neglected the necessity of the provision of surgical services despite the fact that these constitute an essential component of comprehensive primary healthcare (PHC) 1 . In fact, because surgery so frequently cannot be safely postponed, this deficiency prevents the transfer of patients to a secondary or tertiarylevel hospital where further care can be provided. 2

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“…[5] The extreme scarcity and unequal distribution of surgical services and operating theatres was acknowledged. [6] Four types of interventions (especially relevant to SA) are needed: competent initial surgical care for injury victims; handling of obstetric complications; timely and competent surgical management of various abdominal and extra-abdominal emergency and lifethreatening conditions; and elective care of simple surgical conditions such as hernias, clubfoot, cataract, hydroceles and otitis.…”

Section: Towards Universal Access To Safe and Affordable Surgical Andmentioning

confidence: 99%

Ed's Choice

Seggie

2016

S Afr Med J

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Global distribution of surgeons, anaesthesiologists, and obstetricians

Cited by 220 publications

References 2 publications

Anesthesia Workforce and Workload in China: A National Survey

Anesthesia Workforce and Workload in China: A National Survey

Strengthening surgical and anaesthetic services at district level in the African region: issues, challenges and proposed actions

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