在石预防中整合先进实践提供者:模式,障碍和机会
Loren J Smith1,2, Evelyn James3, Erin Santos3
1Division of Urologic Surgery, Maine Medical Center, Portland, ME, USA. loren.smith@mainehealth.org.
Urolithiasis
|March 5, 2026
概括
高级实践提供者 (APP) 越来越多地被用于结石预防 (KSP) 诊所,特别是在美国的学术环境中. 他们高兴地执行关键任务,尽管需要解决整合和监督障碍.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健劳动力研究 劳动力研究
背景情况:
- 泌尿器科护理需求的增加和劳动力短缺迫使人们探索新的护理模式.
- 先进实践提供者 (APP) 对于改善泌尿器科护理的准入,效率和连续性至关重要.
- 关于APP在结石预防 (KSP) 诊所的门诊利用和特定作用的数据有限.
研究的目的:
- 评估目前的角色和APP在KSP诊所中的整合.
- 确定APP在KSP护理中整合的障碍.
- 评估供应商对 KSP 中 APP 使用的满意度.
主要方法:
- 在2024年1月至3月期间,IRB批准的12个问题调查被分发给Endourological Society的会员.
- 该调查评估了提供者特征,实践设置,APP角色,监督模型,满意度和感知障碍.
- 实现了17%的响应率 (69/413),其中49.3%报告APP使用.
主要成果:
- 与国际环境相比,APP在美国学术KSP诊所 (93.1%) 中使用的频率更高.
- 关键的APP职责包括代谢性尿解 (93.9%),血清实验室审查 (90.9%) 和药物管理 (84.8%).
- 对血清实验室监测 (86.2%) 和尿液检测 (83.3%) 报告了很高的满意度,其中一半报告没有正式的医生监督.
结论:
- 应用程序越来越多地被整合到KSP诊所中,特别是在美国的学术实践中,显示出高满意度和广泛的临床责任.
- 诸如可用性,组织约束和成本等障碍阻碍了更广泛的APP集成.
- 需要标准化能力,更明确的指导方针和进一步的研究,以优化APP角色并提高泌尿器科护理的可持续性.
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