Author:
Davies Justine I,Vreede Eric,Onajin-Obembe Bisola,Morriss Wayne W
Abstract
IntroductionThe number of specialist anaesthetists in most low-income and middle-income countries is below what is needed to provide a safe quality anaesthesia service. There are no estimates of the optimal number; therefore, we estimated the minimum density of specialist anaesthetists to achieve a reasonable standard of healthcare as indicated by the maternal mortality ratio (MMR).MethodsUtilising existing country-level data of the number of physician anaesthesia providers (PAPs), MMR and Human Development Index (HDI), we developed best-fit curves to describe the relationship between MMR and PAPs, controlling for HDI. The aim was to use this relationship to estimate the number of PAPs associated with achieving the median MMR.ResultsWe estimated that, in order to achieve a reasonable standard of healthcare, as indicated by the global median MMR, countries should aim to have at least four PAPs per 100 000 population. Existing data show that currently 80 countries have fewer than this number.ConclusionFour PAPs per 100 000 population is a modest target, but there is a need to increase training of doctors in many countries in order to train more specialist anaesthetists. It is important that this target is considered during the development of national workforce plans, even if a stepwise approach to workforce planning is chosen.
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference17 articles.
1. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development;Meara;The Lancet,2015
2. World Health Assembly . 68th Meeting. “WHA 68.15. Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage”. Geneva, Switzerland: World Health Organization, 2015.
3. Development of a unifying target and consensus indicators for global surgical systems strengthening: proposed by the global alliance for surgery, obstetric, trauma, and anaesthesia Care (The G4 Alliance);Haider;World J Surg,2017
4. Who knows how many anaesthetists we need?;Redfern;Anaesthesia,2013
5. The WFSA global anesthesia workforce survey;Kempthorne;Anesth Analg,2017
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