住院医生对国家的态度 先进的实践 提供者独立性 法律
Forrest Bohler1, Nick Petrykowski2, Silvana Iskandar2
1Oakland University William Beaumont School of Medicine, Rochester, MI, USA. forrestbohler@yahoo.com.
Journal of general internal medicine
|January 6, 2026
概括
住院医生认为,对先进实践提供者 (APP) 的扩大实践范围的法律对护理质量和协作构成威胁,可能会影响他们未来的实践地点.
科学领域:
- 医学教育 医学教育
- 卫生政策 卫生政策
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 美国各州正在扩大高级实践提供者 (APP) 的实践范围,以解决医生短缺问题.
- 人们对住院医生对这些立法变化的看法及其对临床实践的影响知之甚少.
研究的目的:
- 评估住院医生对APP提供的护理的看法.
- 了解居民对立法对临床实践和专业后果的影响的看法.
主要方法:
- 一项匿名的20项调查对美国522位住院医生进行了调查,这些医生来自各个专业.
- 该调查收集了人口统计数据,熟悉APP立法,以及对APP护理和劳动力影响的看法.
- 定量分析包括描述性统计和千平方测试.
主要成果:
- 62%的居民认为,APP独立法将改善获得护理的机会.
- 显著多数人认为NP和PA提供的护理质量低于医生护理 (分别为89%和86%).
- 大多数居民反对独立APP实践 (92%),理由是对质量,协作和就业安全的担忧,在APP独立的州实践的可能性低40%.
结论:
- 住院医生对扩大APP执业范围立法的质量和专业影响表示严重担忧.
- 这些担忧可能会阻止医生在拥有更大的APP自治权的州执业,这可能会影响医生分配.
- 决策者应该考虑居民的观点,以减轻对医疗保健工作人员和专业间合作的意外影响.
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