Department of Otolaryngology and Communicative Sciences, University of Mississippi, Jackson, Mississippi 39216, USA.
Laryngoscope. 2011 Nov;121(11):2317-21. doi: 10.1002/lary.22192. Epub 2011 Oct 12.
Physician extenders may be a valuable asset to an outpatient otolaryngology practice. The adjunctive care provided by physician extenders appears to be cost effective and has the advantages of increasing patient education, promoting physician productivity, and improving management of chronic conditions. Practice types that may benefit from advanced practice providers include group or solo practices with high demand or who need improved efficiency. We discuss five different practice models for incorporation of advanced practice providers in an outpatient otolaryngology practice. These models include scribe, collaborative, limited independent, partial independent, and near complete independent practice and are based primarily on the autonomy level of the physician extender. In additon, we examine available literature discussing the cost effectiveness of physician extenders used in an outpatient setting.
医生助手可能是门诊耳鼻喉科实践的宝贵资产。医生助手提供的辅助护理似乎具有成本效益，并且具有增加患者教育、提高医生生产力和改善慢性病管理的优势。可能受益于高级执业医师的实践类型包括需求高或需要提高效率的团体或单人执业。我们讨论了在门诊耳鼻喉科实践中纳入高级执业医师的五种不同实践模式。这些模式包括抄写员、协作、有限独立、部分独立和近乎完全独立的实践，主要基于医生助手的自主权水平。此外，我们还研究了有关在门诊环境中使用医生助手的成本效益的现有文献。
