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泌尿外科门诊程序由医生助理和执业护士进行
Roderick S Hooker1, Robert E McKenna2
1Health Services Researcher, 15917 NE Union Rd, Unit #45, Ridgefield, WA, 98642, USA. Rodhooker@icloud.com.
BMC urology
|December 22, 2024
概括
助理医生 (PA) 和执业护士 (NP) 越来越多地进行泌尿外科手术. 他们的手术量显著增加,反映出泌尿病学实践范围的扩大.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 医疗实践管理 医疗实践管理
背景情况:
- 医生助理 (PA) 和执业护士 (NP) 是许多专业的医疗保健提供不可或缺的一部分.
- 泌尿病学是一个重要的领域,采用PA和NP,但它们在门诊护理中的具体作用需要更清晰的定义.
- 了解PAs和NP在泌尿病学中的演变过程性作用对于优化患者护理和劳动力规划至关重要.
研究的目的:
- 划定PAS和NP在门诊泌尿病学的实践范围.
- 分析泌尿科医生,PAs和NP的常见门诊泌尿外科手术的执行趋势.
- 评估PA和NP对泌尿器科程序环境的影响.
主要方法:
- 从2014年到2021年,对医疗保险B部分门诊泌尿外科手术索赔的回顾性队列分析.
- 美国泌尿病学协会认定的经常进行的门诊泌尿病手术.
- 由泌尿科医生,PAs和NP提交的程序性索赔数据进行比较.
主要成果:
- 2014年至2022年期间,泌尿科医生,PAs和NP提交了超过3500万份门诊泌尿病程序索赔.
- 从2014年到2021年,执行常见门诊泌尿外科手术的PA和NP数量分别增加了109%和156%.
- 虽然泌尿科医生程序量下降了15%,但PA和NP程序量分别增加了130%和162%.
结论:
- 泌尿病学中PA和NP的实践范围正在扩大,特别是在门诊环境中.
- 这些发现凸显了PA和NP在泌尿器科内以团队为基础的护理和任务转移方面日益增长的作用.
- 程序学家角色的转变与泌尿器科护理需求的增加和泌尿科医生供应的滞后相吻合.
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