集成先进实践提供者进入独立的外科小组
Parth K Modi1, Samuel R Kaufman2, Dawson Hill3
1Section of Urology, Department of Surgery, University of Chicago, Chicago, IL.
Journal of the American College of Surgeons
|August 1, 2025
概括
高级实践提供者 (APP) 在外科组增加,但他们的增长与外科医生需求最大的领域不一致. 此外,APP也较少用于跨专业的外科辅助.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 外科手术劳动力分析
- 医疗保健政策 医疗保健政策
背景情况:
- 高级实践提供者 (APP) 越来越多地被用于增加外科医生的能力和改善患者的访问.
- 与未满足需求相关的外科专业内APP的具体作用和部署模式尚不清楚.
研究的目的:
- 分析2010-2020年间外科专业内APP部署的趋势.
- 确定APP的增长是否与经历外科医生短缺的地区保持一致.
主要方法:
- 利用医疗保险数据 (2010-2020年) 来识别由手术组管理的患者.
- 确定了APP,并描述了它们的部署 (门诊,住院,混合).
- 通过使用两部分模型,评估了2015年相对于外科医生供应的APP供应增长.
主要成果:
- 在泌尿外科,整体外科和骨科手术中,APP数量增加,但在心胸外科手术中下降.
- 根据专业和环境,APP的部署有所不同;所有专业的外科辅助角色都下降了.
- APP供应增长集中在中度外科医生供应的地区,而不是需要最多的地区.
结论:
- 泌尿病学,骨科和整体外科的APP增长并没有准外科医生供应最低的地区.
- 在所有分析的外科专业中,APP作为外科助理的使用量都在下降.
- 调查结果表明,在某些外科领域,APP部署与关键访问需求之间存在不一致.
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