美国2022-2023年麻醉工作日 - - 对国家劳动力评估的影响
Franklin Dexter1, Richard H Epstein2, Richard P Dutton3
1Department of Anesthesia, University of Iowa, United States of America.
Journal of clinical anesthesia
|September 20, 2025
概括
麻醉医生每天工作的时间减少了,大多数病例集中在上午. 这种由门诊手术驱动的转变,有助于感知劳动力短缺.
科学领域:
- 麻醉学 麻醉学
- 医疗保健工作人员分析
- 手术结果研究研究.
背景情况:
- 在2013-2023年间,麻醉临床医生的数量增长速度快于病例数量.
- 门诊手术扩展可能会减少每位临床医生的每日麻醉时间.
- 这项研究调查了麻醉病例时间和分布的变化.
研究的目的:
- 为了测试假设,增加的门诊手术减少了每位临床医生的麻醉时间.
- 利用国家数据分析麻醉病例时间和分布的趋势.
- 将目前的麻醉实践模式与2013年的麻醉实践模式进行比较.
主要方法:
- 从国家麻醉临床成果登记处 (NACOR) 在2022-2023年分析了13,901,414种麻醉剂.
- 案件按正常工作日 (周一至周五) 和周末,以及每天的时间进行分类.
- 使用相似性指数,比较工作日和周末之间的程序代码分布.
主要成果:
- 与2013年相比,正常工作日的麻醉时间减少了,在上午7:30至下午3:29之间有显著的度.
- 在工作日下午1点之前完成麻醉分钟的比例比2013年增加.
- 周末麻醉病例分钟减少,工作日和周末之间手术类型的相似性下降.
结论:
- 麻醉工作时间小于8小时,自2013年以来一直在下降.
- 在工作日开始时对临床医生的需求增加可能有助于感知劳动力短缺.
- 这些发现表明,急性护理麻醉学团队越来越需要管理周末和潜在的非高峰需求.
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