The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce

Tyler J. Law; Michael S. Lipnick; Wayne Morriss; Adrian W. Gelb; Jannicke Mellin-Olsen; Daniela Filipescu; Jackie Rowles; Pascal Rod; Fauzia Khan; Patrica Yazbeck; Eugene Zoumenou; Pedro Ibarra; Kumudini Ranatunga; Fred Bulamba; Rudin Domi; Kawsar Sardar; Vera Saldien; Ruben Pineda; Jampel Tshering; Elizabeth Justiniano Zarate; Elmedin Dubravac; Luiz Fernando Dos Reis Falcão; Ki Kélan Bertille; Gilles Eloi Rwibuka; Sophallyda Krouch; Marilia Loizou; Boua Narcisse; Josue Jimenez; Hamilton Lama; Nesrine Refai; Leulayehu Akalu; Kartik Mudliar; Sari Pyhälä; Matti Reinikainen; Decock Nico; Anna Njie; Frederick Kporxah; Anna Malisiova; Maria Mercedes Garcia Robles; Onica Higgins Gill; Krisztina Madách; Naveen Malhotra; Stephen Okelo; Alisher Agzamov; Iveta Golubovska; Taemane Tekete; Joel Moyo; Youssouf Coulibaly; Vishaal Kissoon; Cecilia Sandoval Larios; Ganbold Lundeg; Mouhajir Mohamed; Elizabeth Ogboli Nwasor; Aleksandra Gavrilovska-Brzanov; Ramlaa Alqassab; Arvin Karu; Freddy Espinoza; Krzysztof Kusza; Francisco A. Lobo; Erban Ion Bubenek-Turconi; Ruhato Banguti Paulin; Nebojsa Ladjevic; Eric Vreede; Yew Weng Chan; Marko Zdravkovic; Mubarak Mohamed Jama; Lance Lasersohn; Antonia Ballesteros Barrado; Emilia Guasch; Lomangisi Dlamini-Sserumaga; Owain Thomas; Sabah Alkayali; Hui Ju Yang; Edwin Rwebugisa Lugazia; Suwimon Tangwiwat; Phuping Akavipat; Mingota Da Costa Herculano; Sama Doles Hamza; Deryk Chen; Iheb Labbene; Moncef Jendoubi; Samime Durmaz; Fatma Saricaoglu; Ronald Bisegerwa; Jonathan Kim; Ana Schwartzmann; Abel Mwale; Nelly Saunyama Ruvimbo

doi:10.1213/ANE.0000000000006836

The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce

Tyler J. Law, Michael S. Lipnick, Wayne Morriss, Adrian W. Gelb, Jannicke Mellin-Olsen, Daniela Filipescu, Jackie Rowles, Pascal Rod, Fauzia Khan, Patrica Yazbeck, Eugene Zoumenou, Pedro Ibarra, Kumudini Ranatunga, Fred Bulamba, Rudin Domi, Kawsar Sardar, Vera Saldien, Ruben Pineda, Jampel Tshering, Elizabeth Justiniano ZarateElmedin Dubravac, Luiz Fernando Dos Reis Falcão, Ki Kélan Bertille, Gilles Eloi Rwibuka, Sophallyda Krouch, Marilia Loizou, Boua Narcisse, Josue Jimenez, Hamilton Lama, Nesrine Refai, Leulayehu Akalu, Kartik Mudliar, Sari Pyhälä, Matti Reinikainen, Decock Nico, Anna Njie, Frederick Kporxah, Anna Malisiova, Maria Mercedes Garcia Robles, Onica Higgins Gill, Krisztina Madách, Naveen Malhotra, Stephen Okelo, Alisher Agzamov, Iveta Golubovska, Taemane Tekete, Joel Moyo, Youssouf Coulibaly, Vishaal Kissoon, Cecilia Sandoval Larios, Ganbold Lundeg, Mouhajir Mohamed, Elizabeth Ogboli Nwasor, Aleksandra Gavrilovska-Brzanov, Ramlaa Alqassab, Arvin Karu, Freddy Espinoza, Krzysztof Kusza, Francisco A. Lobo, Erban Ion Bubenek-Turconi, Ruhato Banguti Paulin, Nebojsa Ladjevic, Eric Vreede, Yew Weng Chan, Marko Zdravkovic, Mubarak Mohamed Jama, Lance Lasersohn, Antonia Ballesteros Barrado, Emilia Guasch, Lomangisi Dlamini-Sserumaga, Owain Thomas, Sabah Alkayali, Hui Ju Yang, Edwin Rwebugisa Lugazia, Suwimon Tangwiwat, Phuping Akavipat, Mingota Da Costa Herculano, Sama Doles Hamza, Deryk Chen, Iheb Labbene, Moncef Jendoubi, Samime Durmaz, Fatma Saricaoglu, Ronald Bisegerwa, Jonathan Kim, Ana Schwartzmann, Abel Mwale, Nelly Saunyama Ruvimbo

Research output: Contribution to journal › Article › peer-review

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Abstract

BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Original language	English
Pages (from-to)	15-24
Number of pages	10
Journal	Anesthesia and Analgesia
Volume	139
Issue number	1
DOIs	https://doi.org/10.1213/ANE.0000000000006836
Publication status	Published - 1 Jul 2024
Externally published	Yes

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10.1213/ANE.0000000000006836

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Law, T. J., Lipnick, M. S., Morriss, W., Gelb, A. W., Mellin-Olsen, J., Filipescu, D., Rowles, J., Rod, P., Khan, F., Yazbeck, P., Zoumenou, E., Ibarra, P., Ranatunga, K., Bulamba, F., Domi, R., Sardar, K., Saldien, V., Pineda, R., Tshering, J., ... Saunyama Ruvimbo, N. (2024). The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce. Anesthesia and Analgesia, 139(1), 15-24. https://doi.org/10.1213/ANE.0000000000006836

@article{f19586ef7b4a48288bcd275e784b59a8,

title = "The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce",

abstract = "BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.",

author = "Law, {Tyler J.} and Lipnick, {Michael S.} and Wayne Morriss and Gelb, {Adrian W.} and Jannicke Mellin-Olsen and Daniela Filipescu and Jackie Rowles and Pascal Rod and Fauzia Khan and Patrica Yazbeck and Eugene Zoumenou and Pedro Ibarra and Kumudini Ranatunga and Fred Bulamba and Rudin Domi and Kawsar Sardar and Vera Saldien and Ruben Pineda and Jampel Tshering and Zarate, {Elizabeth Justiniano} and Elmedin Dubravac and {Fernando Dos Reis Falc{\~a}o}, Luiz and Bertille, {Ki K{\'e}lan} and {Eloi Rwibuka}, Gilles and Sophallyda Krouch and Marilia Loizou and Boua Narcisse and Josue Jimenez and Hamilton Lama and Nesrine Refai and Leulayehu Akalu and Kartik Mudliar and Sari Pyh{\"a}l{\"a} and Matti Reinikainen and Decock Nico and Anna Njie and Frederick Kporxah and Anna Malisiova and {Garcia Robles}, {Maria Mercedes} and {Higgins Gill}, Onica and Krisztina Mad{\'a}ch and Naveen Malhotra and Stephen Okelo and Alisher Agzamov and Iveta Golubovska and Taemane Tekete and Joel Moyo and Youssouf Coulibaly and Vishaal Kissoon and {Sandoval Larios}, Cecilia and Ganbold Lundeg and Mouhajir Mohamed and {Ogboli Nwasor}, Elizabeth and Aleksandra Gavrilovska-Brzanov and Ramlaa Alqassab and Arvin Karu and Freddy Espinoza and Krzysztof Kusza and Lobo, {Francisco A.} and Bubenek-Turconi, {Erban Ion} and {Banguti Paulin}, Ruhato and Nebojsa Ladjevic and Eric Vreede and Chan, {Yew Weng} and Marko Zdravkovic and {Mohamed Jama}, Mubarak and Lance Lasersohn and {Ballesteros Barrado}, Antonia and Emilia Guasch and Lomangisi Dlamini-Sserumaga and Owain Thomas and Sabah Alkayali and Yang, {Hui Ju} and {Rwebugisa Lugazia}, Edwin and Suwimon Tangwiwat and Phuping Akavipat and {Da Costa Herculano}, Mingota and {Doles Hamza}, Sama and Deryk Chen and Iheb Labbene and Moncef Jendoubi and Samime Durmaz and Fatma Saricaoglu and Ronald Bisegerwa and Jonathan Kim and Ana Schwartzmann and Abel Mwale and {Saunyama Ruvimbo}, Nelly",

year = "2024",

month = jul,

day = "1",

doi = "10.1213/ANE.0000000000006836",

language = "English",

volume = "139",

pages = "15--24",

journal = "Anesthesia and Analgesia",

issn = "0003-2999",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "1",

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Law, TJ, Lipnick, MS, Morriss, W, Gelb, AW, Mellin-Olsen, J, Filipescu, D, Rowles, J, Rod, P, Khan, F, Yazbeck, P, Zoumenou, E, Ibarra, P, Ranatunga, K, Bulamba, F, Domi, R, Sardar, K, Saldien, V, Pineda, R, Tshering, J, Zarate, EJ, Dubravac, E, Fernando Dos Reis Falcão, L, Bertille, KK, Eloi Rwibuka, G, Krouch, S, Loizou, M, Narcisse, B, Jimenez, J, Lama, H, Refai, N, Akalu, L, Mudliar, K, Pyhälä, S, Reinikainen, M, Nico, D, Njie, A, Kporxah, F, Malisiova, A, Garcia Robles, MM, Higgins Gill, O, Madách, K, Malhotra, N, Okelo, S, Agzamov, A, Golubovska, I, Tekete, T, Moyo, J, Coulibaly, Y, Kissoon, V, Sandoval Larios, C, Lundeg, G, Mohamed, M, Ogboli Nwasor, E, Gavrilovska-Brzanov, A, Alqassab, R, Karu, A, Espinoza, F, Kusza, K, Lobo, FA, Bubenek-Turconi, EI, Banguti Paulin, R, Ladjevic, N, Vreede, E, Chan, YW, Zdravkovic, M, Mohamed Jama, M, Lasersohn, L, Ballesteros Barrado, A, Guasch, E, Dlamini-Sserumaga, L, Thomas, O, Alkayali, S, Yang, HJ, Rwebugisa Lugazia, E, Tangwiwat, S, Akavipat, P, Da Costa Herculano, M, Doles Hamza, S, Chen, D, Labbene, I, Jendoubi, M, Durmaz, S, Saricaoglu, F, Bisegerwa, R, Kim, J, Schwartzmann, A, Mwale, A & Saunyama Ruvimbo, N 2024, 'The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce', Anesthesia and Analgesia, vol. 139, no. 1, pp. 15-24. https://doi.org/10.1213/ANE.0000000000006836

TY - JOUR

T1 - The Global Anesthesia Workforce Survey

T2 - Updates and Trends in the Anesthesia Workforce

AU - Law, Tyler J.

AU - Lipnick, Michael S.

AU - Morriss, Wayne

AU - Gelb, Adrian W.

AU - Mellin-Olsen, Jannicke

AU - Filipescu, Daniela

AU - Rowles, Jackie

AU - Rod, Pascal

AU - Khan, Fauzia

AU - Yazbeck, Patrica

AU - Zoumenou, Eugene

AU - Ibarra, Pedro

AU - Ranatunga, Kumudini

AU - Bulamba, Fred

AU - Domi, Rudin

AU - Sardar, Kawsar

AU - Saldien, Vera

AU - Pineda, Ruben

AU - Tshering, Jampel

AU - Zarate, Elizabeth Justiniano

AU - Dubravac, Elmedin

AU - Fernando Dos Reis Falcão, Luiz

AU - Bertille, Ki Kélan

AU - Eloi Rwibuka, Gilles

AU - Krouch, Sophallyda

AU - Loizou, Marilia

AU - Narcisse, Boua

AU - Jimenez, Josue

AU - Lama, Hamilton

AU - Refai, Nesrine

AU - Akalu, Leulayehu

AU - Mudliar, Kartik

AU - Pyhälä, Sari

AU - Reinikainen, Matti

AU - Nico, Decock

AU - Njie, Anna

AU - Kporxah, Frederick

AU - Malisiova, Anna

AU - Garcia Robles, Maria Mercedes

AU - Higgins Gill, Onica

AU - Madách, Krisztina

AU - Malhotra, Naveen

AU - Okelo, Stephen

AU - Agzamov, Alisher

AU - Golubovska, Iveta

AU - Tekete, Taemane

AU - Moyo, Joel

AU - Coulibaly, Youssouf

AU - Kissoon, Vishaal

AU - Sandoval Larios, Cecilia

AU - Lundeg, Ganbold

AU - Mohamed, Mouhajir

AU - Ogboli Nwasor, Elizabeth

AU - Gavrilovska-Brzanov, Aleksandra

AU - Alqassab, Ramlaa

AU - Karu, Arvin

AU - Espinoza, Freddy

AU - Kusza, Krzysztof

AU - Lobo, Francisco A.

AU - Bubenek-Turconi, Erban Ion

AU - Banguti Paulin, Ruhato

AU - Ladjevic, Nebojsa

AU - Vreede, Eric

AU - Chan, Yew Weng

AU - Zdravkovic, Marko

AU - Mohamed Jama, Mubarak

AU - Lasersohn, Lance

AU - Ballesteros Barrado, Antonia

AU - Guasch, Emilia

AU - Dlamini-Sserumaga, Lomangisi

AU - Thomas, Owain

AU - Alkayali, Sabah

AU - Yang, Hui Ju

AU - Rwebugisa Lugazia, Edwin

AU - Tangwiwat, Suwimon

AU - Akavipat, Phuping

AU - Da Costa Herculano, Mingota

AU - Doles Hamza, Sama

AU - Chen, Deryk

AU - Labbene, Iheb

AU - Jendoubi, Moncef

AU - Durmaz, Samime

AU - Saricaoglu, Fatma

AU - Bisegerwa, Ronald

AU - Kim, Jonathan

AU - Schwartzmann, Ana

AU - Mwale, Abel

AU - Saunyama Ruvimbo, Nelly

PY - 2024/7/1

Y1 - 2024/7/1

N2 - BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

AB - BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

UR - http://www.scopus.com/inward/record.url?scp=85196388371&partnerID=8YFLogxK

U2 - 10.1213/ANE.0000000000006836

DO - 10.1213/ANE.0000000000006836

M3 - Article

C2 - 38470828

AN - SCOPUS:85196388371

SN - 0003-2999

VL - 139

SP - 15

EP - 24

JO - Anesthesia and Analgesia

JF - Anesthesia and Analgesia

IS - 1

ER -

The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce

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