儿科耳鼻喉科手术时间根据培训水平:12,704个案例分析
Christopher Jabbour1, Nicole L Aaronson1,2, Ran Zhang3
1Division of Pediatric Otolaryngology, Nemours Children's Health, Wilmington, DE, USA.
The Annals of otology, rhinology, and laryngology
|May 23, 2025
概括
住院人员参与儿科耳鼻喉科手术增加了手术时间,特别是对于年轻患者和具有特定健康因素的患者. 这种培训给医疗机构带来了相当大的财务成本.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医疗保健经济学 医疗保健经济学
- 外科教育的外科教育
背景情况:
- 住院培训是外科教育不可或缺的一部分.
- 了解居民参与对程序效率和成本的影响对于医疗保健系统至关重要.
研究的目的:
- 评估居民参与如何影响儿科耳鼻喉科手术的持续时间.
- 分析居民参与外科护理的财务影响.
主要方法:
- 儿童耳鼻喉科手术 (桃体切除术,腺切除术等) 的回顾性图表审查. 从2016年4月开始到2023年10月.
- 收集的数据包括手术持续时间,患者人口统计,美国麻醉学会 (ASA) 类,体重指数 (BMI) 百分位数,安排时间和外科医生类型.
- 通过比较主治医生和实习生之间的手术时间,使用机构收入值来计算财务影响.
主要成果:
- 与主治医生相比,实习生参与通常会延长外科手术时间,除了闭合鼻腔缩小外.
- 患者年龄,ASA类,BMI百分位数和下午安排等因素与某些手术的更长的程序有关.
- 在研究期间,归因于居民培训的财务成本估计为616,988美元,其中对第二年居民的投资最高.
结论:
- 儿科耳鼻喉科手术的持续时间受外科医生的经验和患者特定因素的影响.
- 住院培训对医疗机构来说是一个巨大的长期金融投资,对于开发外科专业知识至关重要.
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