执业护士的低价值护理订单实践:综合性审查
Sara B Nugent1, Roberta P Lavin, Barbara I Holmes Damron
1University of New Mexico College of Nursing, 1650 University Blvd NE, Albuquerque, NM 87102.
The American journal of managed care
|March 8, 2024
概括
执业护士 (NP) 订购低价值护理 (LVC) 尚不清楚,与其他临床医生相比,数据矛盾. 专业化等因素影响NP LVC实践,但需要更多的研究.
科学领域:
- 医疗保健管理的管理
- 临床实践 临床实践
- 卫生经济学 卫生经济学
背景情况:
- 低价值护理 (LVC) 服务缺乏证据,伤害患者,每年成本超过1000亿美元.
- 了解执业护士 (NP) 的LVC订单对于减少医疗保健浪费至关重要.
- 本综述检查了与其他临床医生相比,NP LVC在门诊机构的订购情况.
研究的目的:
- 描述和比较执业护士 (NP) 在门诊机构的低价值护理 (LVC) 订购实践.
- 探索影响NP LVC订单的因素.
主要方法:
- 对2023年4月之前发表的原始研究进行综合性审查.
- 在多个电子数据库和谷歌学者中使用与LVC和NP相关的关键词进行搜索.
- 包括从确定的研究中获取的参考清单.
主要成果:
- 当与其他临床医生比较NP LVC订购时,存在相互矛盾的结果.
- 在几个研究中,NP与医生相比,订购了类似的抗生素和腰部成像率.
- NP的专业化影响了LVC的订单,但实践范围的法律没有.
结论:
- 全面的NP LVC订单和影响因素仍然基本上是未知的.
- 与其他医疗保健提供者相比,不确定NP是否订购LVC服务的数量较少或相同.
- 进一步的研究是必不可少的,以充分理解和解决在LVC的NP角色.
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