Quote from bangwa
........Most hospitals will prefer 5 CRNAs and 2 anesthesiologists (MDs) than the reverse because of cost. ........
Sorry, it's just naive to believe such decisions are based on a rational analysis of cost-effectiveness. Should be perhaps, but rarely happens that way in the real world of anesthesia. Local politics play a much larger role, where MDAs easily convince hospital administrators that they alone are the superior anesthesia providers, based solely on one simplistic unfounded presupposition: nurse good, doctor better.
Common sense, right? So they say.
As specifically concerns anesthesia practice however, of course the facts don't back that up. But hospital administrators also can be naive and non-scientific; they ignore basic evidence-based practice and grant monopolies to MDAs while mistakenly believing the high cost of training and employing MDAs to be justified by higher quality patient care.
As we know, there is no scientific proof of that.