レジリエントな医療体制の構築に向けて―麻酔科医は平時にどのように心がけて準備すべきか―

What Anesthesiologists Can and Should Do to Construct a Resilient Medical System in Preparation for the Next Pandemic

はじめに

　3年あまりにわたったコロナ禍は，医療供給体制に関する大きな課題を露呈した。その課題は地域によっても異なるとはいえ，麻酔科医の立場から見たとき，ある共通したものが見えてくる。本論文では，コロナ禍に大学病院の病院管理者として対応した麻酔科医として，いくつかの分析と提言を行いたい。

　During the recent COVID-19 pandemic, emergency physicians and infectious disease physicians played major roles in the treatment of COVID-19 patients. However, because their manpower is limited, we anesthesiologists can and should also play active roles in the care of severely ill patients during the next pandemic. To do so, we too must participate in critical care, rapid response team activities, and the education of other medical professionals outside the operating room during the regular, non-pandemic period. Work style reform, which will be implemented in April 2024, should lead to a more efficient work style in the operating room and thereby allow time for anesthesiologists to engage in activities outside of the operating room.