危地马拉需要医师助理吗？一项针对潜在城乡用户的调查。
Are Physician Assistants Needed in Guatemala? A Survey of Potential Urban and Rural Users.
作者信息
Luna-Asturias Claudia, Apple Jennifer, Bolaños Guillermo A, Bowser Jonathan M, Asturias Edwin J
机构信息
Claudia Luna-Asturias, LGSW, is a faculty instructor in the Child Health Associate/Physician Assistant Program, Department of Pediatrics, at the University of Colorado School of Medicine, Aurora, Colorado. Jennifer Apple, PA-C, is a clinical provider at the Child Health Associate/Physician Assistant Program, Department of Pediatrics, at the University of Colorado School of Medicine, Aurora, Colorado. Guillermo A. Bolaños, MD, is a physician at the Center for Human Development, Fundacion para la Salud Integral de los Guatemaltecos, Coatepeque, Quetzaltenango, Guatemala. Jonathan M. Bowser, MS, PA-C, is an associate professor and program director of the Child Health Associate/Physician Assistant-CHA/PA Program at the University of Colorado, Aurora, Colorado. Edwin J. Asturias, MD, is an associate professor for the Pediatrics and Epidemiology Division of Pediatric Infectious Diseases at the University of Colorado School of Medicine, Aurora, Colorado.
出版信息
J Physician Assist Educ. 2017 Sep;28(3):138-142. doi: 10.1097/JPA.0000000000000140.
PURPOSE
The shortage of trained health care personnel has been increasing worldwide. With the physician assistant (PA) profession, created in the United States in the 1960s, expanding globally, this study sought to ascertain whether PAs can be an innovative solution to this crisis.
METHODS
We conducted a convenience sample survey to assess the need for and acceptability of future PA professionals in Guatemala. Eighty-nine doctors, nurses, and community members from rural and urban areas of Guatemala participated in the survey.
RESULTS
More urban (70%) than rural (58%) respondents found it difficult to access a doctor, with cost being the major reason (34%). Access in rural areas was reportedly limited by lack of doctors and inaccessible office hours.
CONCLUSIONS
Most survey respondents considered PAs to be suitable and potentially helpful providers for Guatemala, with a preference for competencies in the diagnosis of serious illnesses, drug prescription, labor and delivery attendance, and care for injuries and fractures, especially in rural locations. Belonging to the community was deemed very important for a PA who would practice in the country.
目的
全球范围内，训练有素的医护人员短缺问题日益严重。随着20世纪60年代在美国创立的医师助理（PA）职业在全球范围内的扩展，本研究旨在确定医师助理是否能成为解决这一危机的创新方案。
方法
我们进行了一项便利抽样调查，以评估危地马拉对未来医师助理专业人员的需求和可接受性。来自危地马拉城乡地区的89名医生、护士和社区成员参与了此次调查。
结果
更多城市受访者（70%）比农村受访者（58%）认为看医生困难，费用是主要原因（34%）。据报道，农村地区看诊受限是因为医生短缺和办公时间不便。
结论
大多数调查受访者认为医师助理对危地马拉而言是合适且可能有帮助的医疗服务提供者，尤其倾向于在农村地区，希望医师助理具备诊断严重疾病、开药方、接生以及护理受伤和骨折患者的能力。对于在该国执业的医师助理来说，融入社区被认为非常重要。
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