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February 9, 2024British Journal of AnaesthesiaOpen Access

Modelling the economic constraints and consequences of anaesthesia associate expansion in the UK National Health Service: a narrative review

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Why the study?

Shortages in the physician anaesthesia workforce led to proposals to introduce Anaesthesia Associates in the UK NHS, prompting an economic viability analysis of the proposed 1:2 supervision model.

Is the 1:2 staffing model for Anaesthesia Associates economically viable in the UK NHS?

Comparison

1:2 staffing model (one physician supervising two Anaesthesia Associates) vs single supervisor physician employment cost

Design

Narrative review and economic modelling

Authors

SHStuart B. HanmerMTMitchell H. TsaiDSD. Matthew Sherrer

Discussion

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Overview

Questions 1:2 AA supervision viability in NHS; leaves open whether autonomy or higher ratios could restore economic rationale.

Structured PICO

Is the 1:2 staffing model for Anaesthesia Associates economically viable in the UK NHS?

P
Population
UK National Health Service (NHS) Anaesthesia Associates (AAs) and physician anaesthesia workforce
I
Intervention
Expansion of Anaesthesia Associates (AAs) using a 1:2 staffing model (one physician supervising two AAs)
O
Outcome
Economic viability of the staffing model

The current 1:2 staffing model for Anaesthesia Associates in the UK NHS is economically nonviable given current salary structures, requiring either increased autonomy, higher staffing ratios, or program termination.

Cite This Study

Hanmer et al. (2024) studied this question.

synapsesocial.com/papers/6a8407da7e95b97f4e72f5b7https://doi.org/10.1016/j.bja.2024.01.015
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Also Consider

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  1. 1The experiences and perceptions of working with Anaesthesia Associates: a survey of UK anaesthetists in training2023 · 2 citations
  2. 2Barriers to Achieving a Cost-Effective Workforce Mix: Lessons from Anesthesiology1999 · 15 citations
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