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医生助理在加拿大泌尿外科的定量和质量影响

James Misurka¹, Katherine Lajkosz¹, Miran Kenk¹

¹University Health Network, University of Toronto, Toronto, ON, Canada.

Canadian Urological Association journal = Journal de l'Association des urologues du Canada

|July 26, 2023

概括

医生助理 (PA) 通过增加患者访问和减少医生工作量来提高泌尿瘤学护理. 这些PA被证明是成本中立的补充,提高了诊所的效率和实习生教育.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗保健管理的管理
医学教育医学教育

背景情况:

医生助理 (PA) 越来越多地融入加拿大医疗保健,以改善获取和降低成本.
本研究评估了PA在三级护理泌尿瘤实践中的影响.

研究的目的:

评估PAs对临床体积,医生工作量和尿道瘤学财务结果的影响.
评估PA对居民和研究员教育的贡献.

主要方法:

分析安大略省医疗保险计划 (OHIP) 计费代码在PA整合之前和之后.
电子调查分发给与PA工作的医疗保健专业人员.
在三个月的时间内,通过PAs进行的患者访问的跟踪.

主要成果:

护理人员的每日诊所访问量平均增加了11.3例.
护理人员单独管理平均每天24名患者.
该实践经历了16800美元的收入增长,表明成本中立.

结论:

在加拿大,PAS显著增加了加拿大泌尿外科实践中的患者吞吐量.
PAs有效地减少了医生,研究员和住院医生的工作负担.
整合PA是一种成本中立的投资,可以提高实践效率和教育.

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