荷兰的PA和NP一般实践就业
Geert Twj van den Brink1, Arjan J Kouwen, Roderick S Hooker
1Geert TWJ van den Brink practices at Radboud University Medical Center and is director of the master PA program at HAN University of Applied Sciences, both in Nijmegen, Netherlands. Arjan J. Kouwen is manager of organ donation and transplantation for the Dutch Federation of University Medical Centers in Utrecht, Netherlands. Roderick S. Hooker is a US-based health policy consultant. Hester Vermeulen is a professor of nursing sciences at IQ Healthcare, Radboud University Medical Center, in Nijmegen. Miranda GH Laurant is a professor of organization of healthcare and services at HAN University of Applied Sciences and a senior researcher at Radboud University Medical Center. The authors disclose that this research was funded by the Netherlands' Ministry of Health. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
医生助理/助理 (PA) 和执业护士 (NP) 增强了荷兰的全科医生实践,提高了效率并减少了全科医生工作量. 在大多数分析的案例中,他们的雇佣被证明是具有成本效益的,支持复杂的患者护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 一般医生 (GPs) 是荷兰初级保健的核心.
- 越来越多的医疗保健需求需要创新的员工解决方案.
- 医生助理/助理 (PA) 和执业护士 (NP) 在全国范围内被引入.
研究的目的:
- 在一般实践中评估PAs和NP的定量和质量影响.
- 评估使用PAs和NP的成本效益和工作负载影响.
- 了解PA和NP对初级医疗保健的贡献.
主要方法:
- 对四个代表性的通用实践 (两个单独,两个组) 的定量和定性分析.
- 包括使用PA或NP的实践.
- 与一般医生的参考组进行比较;咨询专家.
主要成果:
- 年度接触:一般医生平均6839;NP,2,636;PA,4,926. 年度接触:一般医生平均6,839;NP,2,636;PA,4,926.
- 可发票的服务:NP平均为71%;PA为85%.
- 成本效益:在75%的实践中,雇佣PA/NP在财务上是有利的.
- 定性发现:PAs和NP减轻了GP的工作量,为复杂的案件提供了更多的时间.
结论:
- 公共服务机构和国家公共服务机构对荷兰的一般做法做出了重大贡献.
- 它们的整合可以提高效率并管理医疗需求.
- 在大多数研究的案例中,观察到财务效益和工作量减少.
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