Global surgical, obstetric, and anesthetic task shifting: A systematic literature review

Surgery
Frederik FederspielJohn G Meara

Abstract

Five billion people lack access to safe, affordable, and timely surgical care; this is in part driven by severe shortages in the global surgical workforce. Task shifting is commonly implemented to expand the surgical workforce. A more complete understanding of the global distribution and use of surgical, obstetric, and anesthetic task shifting is lacking in the literature. We aimed to document the use of task shifting worldwide with a systematic review of the literature. We performed a systematic review of 10 health literature databases. We included journal articles published between January 1, 1995, and February 17, 2017, documenting the provision of surgical or anesthetic care by associate clinicians (any non-physician clinician). We extracted data for health cadres performing task shifting, types of tasks performed, training programs, and levels of supervision, and compared these across regions and income groups. We identified 55 relevant studies, with data for 52 countries for surgery and 147 countries for anesthesia. Surgical task shifting was documented in 19 of 52 countries and anesthetic task shifting in 119 of 147. Task shifting was documented across all World Bank income groups. No associate clinicians were found to p...Continue Reading

Citations

Apr 3, 2019·Current Opinion in Pediatrics·Sarah UllrichDoruk Ozgediz
Jul 12, 2019·Anesthesia and Analgesia·Tyler J LawUNKNOWN Global Anesthesia Workforce Study Group
Jul 10, 2019·The American Journal of Tropical Medicine and Hygiene·Adi NadimpaliiCarrie Teicher
Aug 20, 2019·Anesthesia and Analgesia·Tyler J LawUNKNOWN Global Anesthesia Workforce Study Group
May 16, 2019·Current Opinion in Pediatrics·Sarah UllrichDoruk Ozgediz
Mar 29, 2020·Human Resources for Health·Jakub GajewskiRuairi Brugha
Jul 19, 2020·Human Resources for Health·Phylisha van HeemskerkenLeon Bijlmakers
Jul 2, 2020·Global Health, Science and Practice·Isaac WassermanLubna Samad
Dec 31, 2020·BMJ Open·Shukri DahirUNKNOWN Global Initiative for Children’s Surgery
Sep 14, 2021·Facial Plastic Surgery & Aesthetic Medicine·David A ShayeShankar Man Rai
Sep 17, 2021·Der Anaesthesist·K LewandowskiK W Schmidt
Feb 2, 2022·The Journal of Bone and Joint Surgery. American Volume·Taylor D OttesenKiran J Agarwal-Harding

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