优化临床生产力:对儿童整形手术中APP利用的单一机构分析
Sarah A Layon1, Michelle G Roy, Matthew J Parham
1Sarah A. Layon is a plastic and reconstructive surgery clinical research fellow at Baylor College of Medicine and Texas Children's Hospital in Houston, TX. Michelle G. Roy is a PA in pediatric plastic & reconstructive surgery at Baylor College of Medicine and Texas Children's Hospital, a clinical assistant professor at Baylor College of Medicine, a surgery APP quality and research coordinator at Baylor College of Medicine, and clerkship director of the PA surgical fellowship program at Texas Children's Hospital. Matthew J. Parham is a plastic and reconstructive surgery clinical research fellow at Baylor College of Medicine and Texas Children's Hospital. Heather R. Burns is a plastic and reconstructive surgery clinical research fellow at Baylor College of Medicine and Texas Children's Hospital. Jordan L. Rodriguez is program coordinator, chief administrative officer, and project manager for the Department of Surgery APP Fellowship at Texas Children's Hospital. Larry H. Hollier, Jr . is the President of Health Affairs, surgeon-in-chief and chair of the Department of Surgery at Texas Children's Hospital; vice chair of surgery at Baylor College of Medicine; S. Baron Hardy chair in plastic surgery at Texas Children's Hospital; and a professor of plastic surgery, orthopedic surgery, and pediatrics at Baylor College of Medicine. Kristina Marsack is director of the Department of Surgery Advanced Practice Providers; academic director of PA Surgical, Orthopedic and Community Fellowships; an associate professor; and a practicing PA at Baylor College of Medicine and Texas Children's Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
现在,高级实践提供者 (APP) 与小儿整形外科的外科医生诊所相匹配或超过. 这种APP集成优化了护理,提高了外科医生的生产力,而不会减少患者数量.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗保健管理部门的管理.
- 儿科护理 儿科护理
背景情况:
- 高级实践提供者 (APP) 在整形外科手术中发挥着至关重要的作用,管理分阶段手术和术后护理.
- 这项研究考察了APP在美国一家大型儿科整形外科部门中使用APP的影响.
研究的目的:
- 评估APP使用量增加对实践生产力的影响.
- 分析患者接触,提供者数量和手术转换率的趋势.
主要方法:
- 进行了描述性分析,涵盖了2012年10月至2023年9月的时间.
- 关键指标包括诊所接触,提供者数量,手术室 (OR) 病例和手术转化率.
主要成果:
- 自2020年以来,APP患者接触量显著增加,与外科医生接触量相匹配或超过.
- 外科医生的外科转换率 (临床接触到OR病例) 从2018年的0.19增加到2023年的0.26.
- 整合APP显然增加了外科医生的手术生产力.
结论:
- 增强的APP利用优化了儿科整形外科的患者护理模式.
- 这种整合提高了外科医生的手术生产力,而不会影响诊所的数量.
- 整合APP是提高整形外科实践效率的关键策略.


