Download eBook for Free

Full Document

FormatFile SizeNotes
PDF file 3.3 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Summary Only

FormatFile SizeNotes
PDF file 0.1 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

The roughly 40,000 anesthesiologists (ANs) and anesthesiology residents and 39,000 licensed certified registered nurse anesthetists (CRNAs) and student CRNAs in the United States provide most anesthesiology services. Shortages in this critical area of health care can lead to problems in the provision of health services. The authors' surveys of ANs, CRNAs, and anesthesiology directors included questions about employer types, work hours, earnings, types of anesthesia provision, and technology adoption and preferences. They found a great deal of heterogeneity in work arrangements, clear urban/rural differences in the labor markets for anesthesiology, and even more-pronounced regional differences. In addition to the survey, demand-based and econometric analyses were conducted. The authors conclude that shortage of ANs and CRNAs is highly likely at the national level, with the survey approach providing hints of such a shortage and the economic analysis providing stronger confirmation. Finally, the authors examine the evolution of AN and CRNA labor markets up to 2020 under various scenarios.

Table of Contents

  • Chapter One


  • Chapter Two

    Research Methodology

  • Chapter Three

    Survey Findings

  • Chapter Four

    Analysis of the Labor Markets

  • Chapter Five

    Scenarios for Certified Registered Nurse Anesthetist and Anesthesiologist Labor Markets, 2007–2020

  • Chapter Six

    Conclusions and Future Directions

  • Appendix A

    Anesthesiologist Survey Questionnaire

  • Appendix B

    Certified Registered Nurse Anesthetist Survey Questionnaire

  • Appendix C

    Director of Anesthesiology Survey Questionnaire

  • Appendix D

    Relevant Portions of the Survey of Surgeons

  • Appendix E

    Technical Details on Demand-Based Assessment

  • Appendix F

    Technical Details on Econometric Analysis

  • Appendix G

    Summary Statistics of Clinical Hours and Procedures Used in Demand-Based Analysis

  • Appendix H

    Demand-Based Analysis with Alternative Workweek Definitions

This work was sponsored by Ethicon Endo-Surgery, Inc. The research was conducted in RAND Health, a division of the RAND Corporation.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.