评估不列颠哥伦比亚省农村整体外科的范围
Rebecca M Afford1, Sara D Bolin1, Dunavan K Morris-Janzen1
1From the University of British Columbia, Faculty of Medicine, Vancouver, B.C.
概括
在不列颠哥伦比亚省的农村普通外科医生进行各种手术,但在过去的十年中,非传统手术的频率有所下降,可能是由于新的指导方针. 这种转变会影响患者的接入和培训需求.
科学领域:
- 在外科手术实践中.
- 农村卫生 农村卫生
- 卫生政策 卫生政策
背景情况:
- 在不列颠哥伦比亚省 (BC) 的农村整形外科医生进行的手术超出了他们专业的传统范围.
- 农村实践附属协议 (RSA) 正式定义了BC的农村.
- 了解这些外科医生不断变化的实践范围至关重要.
研究的目的:
- 分析BC的农村普通外科医生的实践范围.
- 为了确定改变特权准则是否随着时间的推移影响了他们的实践.
主要方法:
- 2011-2021年利用医疗服务计划 (MSP) 数据,用于RSA定义的农村社区的普通外科医生收费的手术.
- 按外科专业分类的计费程序.
- 分析了基于社区特征和时间变化的程序趋势.
主要成果:
- 在2011年至2021年期间,在23个BC农村社区进行了超过222,000次手术.
- 结肠镜检查,结肠直肠和手术是最常见的;整形手术是最常见的非常规手术.
- 在这十年中,非传统的整体外科手术程序显著减少 (p < 0.001).
结论:
- 农村普通外科医生的实践范围受到资源,社区需求和专家可用性的影响.
- 随着特权指导方针的不断发展,农村的外科医生似乎减少了执行非常规手术的可能性.
- 这一趋势需要了解其对农村地区培训和患者护理的影响.
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