State of the anaesthesia workforce in the United States: trends and geographic variation in nurse anaesthetist to physician anaesthesiologist ratios

Wilson, Laird; Poeran, Jashvant; Liu, Jiabin; Zhong, Haoyan; Memtsoudis, Stavros G.

doi:10.1016/j.bja.2020.10.001

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…[10][11][12] This increasing pressure leads to severe overwork by current anesthesiologists, which affects health care and job satisfaction, further hindering recruitment and training. 13 In addition, in recent years in the United States, the employment of certified registered nurse anesthetists (CRNAs) has been facilitated and substantially increased, 14 which could cover a large portion of anesthesiologists' workload. In China, however, there is a serious shortage of anesthesia nurses, and they are not permitted to practice independently, which means that they could cover only a small portion of anesthesiologists' workload.…”

Section: Importance Of This Surveymentioning

confidence: 99%

Public Knowledge and Awareness of Anesthesiology and Anesthesiologists in China: A Cross-Sectional National Survey of 1 Million Participants

Sun

et al. 2023

Anesthesia &Amp; Analgesia

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BACKGROUND:In the past 20 years, anesthesiology has become one of the most advanced specialties and has undergone rapid development. However, public awareness regarding anesthesiology and anesthesiologists is limited, especially in developing countries. It is important for anesthesiologists to make the public aware of their role during surgery. Therefore, a nationwide survey was set up to investigate public awareness of anesthesiology and anesthesiologists in China. METHOD: A cross-sectional nationwide survey was performed from June 2018 to June 2019 in 34 provinces, municipalities, and autonomous regions across China and an overseas region. The questionnaires of the survey were divided into 2 main parts: general items and research items. General items included the demographic characteristics of the participants; research items consisted of 10 questions about the public's awareness of anesthesiologists and anesthesiology. Data quality control was undertaken by the investigation committee throughout the survey process. RESULTS: The nationwide survey enrolled 1,001,279 participants (male, 40.7%). We found that most of the participants regarded anesthesiologists as doctors. However, public knowledge of anesthesiologists' work and duties during surgery was quite low, with correct response rate ranging from 16.5% to 52.9%, and anesthesiologist responsibilities were often mistakenly attributed to surgeons or nurses. It is disappointing that more than half of participants still thought that, once the patient fell asleep after receiving anesthetics, the anesthesiologist could leave the operating room. Finally, the correct response rate was positively correlated with the economic levels of the regions. CONCLUSIONS: Public awareness regarding anesthesiology and anesthesiologists in China remains inadequate. Due to the biases and characteristics of the participants, the actual situation of the general Chinese public is likely even worse than reflected here. Therefore, extensive measures should be undertaken to improve public knowledge of anesthesiology and anesthesiologists. (Anesth Analg 2024;138:829-38) KEY POINTS• Question: What is the public awareness of anesthesiology and anesthesiologists in China? • Findings: Public knowledge of anesthesiologists' work and responsibilities during surgery is inadequate, and the correct response rates to questions correlate with participants' education level and with the economic level of resident regions. • Meaning: Extensive measures should be undertaken to improve public knowledge of anesthesiology and anesthesiologists.

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Section: Importance Of This Surveymentioning

confidence: 99%

Public Knowledge and Awareness of Anesthesiology and Anesthesiologists in China: A Cross-Sectional National Survey of 1 Million Participants

Sun

et al. 2023

Anesthesia &Amp; Analgesia

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The impact of surprise billing laws on hospital-based physician prices and network participation

Garmon,

Li,

Retchin

et al. 2024

HEPL

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Prior to the No Surprises Act (NSA), numerous states passed laws protecting patients from surprise medical bills from out-of-network (OON) hospital-based physicians supporting elective treatment in in-network hospitals. Even in non-emergency situations, patients have little ability to choose physicians such as anaesthesiologists, pathologists or radiologists. Using a comprehensive, multi-payer claims database, we estimated the effect of these laws on hospital-based physician reimbursement, charges, network participation and potential surprise billing episodes. Overall, the state laws were associated with a reduction in anaesthesiology prices and charges, but an increase in pathology and radiology prices. The price effects for each state exhibit substantial heterogeneity. California and New Jersey experienced increases in network participation by anaesthesiologists and pathologists and reductions in potential surprise billing episodes, but, overall, we find little evidence of changes in network participation across all of the states implementing surprise billing laws. Our results suggest that the effects of the NSA may vary across states.

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Suggested Work Guidelines, Based on Operating Room Data, for Departments with a Breast Milk Pumping Supervising Anesthesiologist

Titler

Dexter

Epstein

2021

Breastfeeding Medicine

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State of the anaesthesia workforce in the United States: trends and geographic variation in nurse anaesthetist to physician anaesthesiologist ratios

Cited by 6 publications

References 5 publications

Public Knowledge and Awareness of Anesthesiology and Anesthesiologists in China: A Cross-Sectional National Survey of 1 Million Participants

Public Knowledge and Awareness of Anesthesiology and Anesthesiologists in China: A Cross-Sectional National Survey of 1 Million Participants

The impact of surprise billing laws on hospital-based physician prices and network participation

Suggested Work Guidelines, Based on Operating Room Data, for Departments with a Breast Milk Pumping Supervising Anesthesiologist

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