Schoenfeld P
Division of Gastroenterology, National Naval Medical Center, Bethesda, Maryland 20889, USA.
J Clin Gastroenterol. 1999 Mar;28(2):110-6. doi: 10.1097/00004836-199903000-00006.
Screening sigmoidoscopy is associated with a 45% to 80% reduction in colorectal cancer mortality. Although less than 50% of eligible Americans have been screened with flexible sigmoidoscopy (FS), the use of this procedure is rising rapidly. By the year 2000, as many as 10 million screening FS per year could be performed. To accommodate the increased demand, many medical centers have trained paramedical personnel (i.e. physician assistants, nurses, and gastroenterology technicians) to perform FS. However, as a result of the paucity of research about this practice, only physicians receive a professional fee for performing screening FS. Many state Boards of Nursing explicitly prohibit registered nurses (RNs) from performing this procedure. This review outlines research about the effectiveness of paramedical endoscopists, medico-legal and reimbursement issues, and outlines a training program in FS for paramedical personnel.
乙状结肠镜筛查可使结直肠癌死亡率降低45%至80%。尽管符合条件的美国人中接受柔性乙状结肠镜检查（FS）的比例不到50%，但该检查的使用量正在迅速上升。到2000年，每年进行的筛查性FS可能多达1000万例。为满足不断增长的需求，许多医疗中心已培训辅助医疗人员（即医师助理、护士和胃肠病学技术人员）来进行FS。然而，由于对此做法的研究较少，只有医生进行筛查性FS才能获得专业费用。许多州护士委员会明确禁止注册护士（RN）进行此操作。本综述概述了关于辅助医疗内镜医师有效性、医疗法律和报销问题的研究，并概述了辅助医疗人员FS培训计划。
