影响麻醉师可用性的因素:一个范围审查
Zahra Keyvanlo1,2, Fatemeh Kokabisaghi3,4, Mahdi Yousefi5
1Student Research Committee, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Human resources for health
|October 24, 2025
概括
全球麻醉师的可用性受到政治,社会,经济,技术和环境因素的阻碍. 解决这些多方面的问题对于确保全球安全的手术和麻醉护理至关重要.
科学领域:
- 全球健康 全球健康
- 医学劳动力研究 医学劳动力研究
- 麻醉学 麻醉学
背景情况:
- 获得安全的手术和麻醉是一种关键的全球挑战,特别是在低收入和中等收入国家 (LMICs).
- 麻醉师的可用性是全球有效的手术护理提供的一个关键决定因素.
研究的目的:
- 检查影响全球麻醉师可用性的多方面的因素.
- 确定影响不同收入国家的麻醉学工作人员的主要挑战和障碍.
主要方法:
- 使用Arksey和O'Malley框架进行了全面的范围审查.
- 进行了科学和灰色文献数据库的系统搜索 (2015年5月至2023年11月).
- 数据被提取并使用STEEP (社会,技术,经济,环境,政治) 模型进行主题编码.
主要成果:
- 63篇文章确定了68个不同的因素,影响了五个STEEP类别的麻醉师可用性.
- 最常被引用的因素是政治因素,包括对劳动力规划的机构支持.
- 社会因素 (职业发展,工作与生活平衡) 和经济因素 (财务阻碍,工作量) 是重要的障碍,特别是在面临资源短缺和移民的LMIC中.
结论:
- 麻醉师的可用性受到政治,经济,社会,技术和环境因素的复杂相互作用的影响.
- 需要在地方,国家和全球层面采取全面的协作战略来应对这些挑战.
- 确保公平获得安全麻醉护理需要采取多方面的方法,以目标为劳动力发展,保留和资源分配.
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