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医师助理是定义不明确的增效力量吗?医疗专业人员层级体系中医师助理的比较角色定义。

Are Physician Associates Less-defined Force Multipliers? Comparative Role Definition of Physician Associates within the Hierarchy of Medical Professionals.

作者信息

Malik Bilal Haider, Krishnaswamy Ratna, Khan Safeera, Gupta Deepti, Rutkofsky Ian

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Research, California Instititute of Behavioral Neurosciences and Psychology, Fairfield, USA.

出版信息

Cureus. 2019 Dec 26;11(12):e6469. doi: 10.7759/cureus.6469.

Abstract

Medical field has changed considerably with pressures added on mainly by soaring costs, a decline in the workforce strength and patient expectations. The solution that healthcare systems have come up with is the induction of physician associates (PAs) into the workforce. We aim to compare and contrast PAs with other members of the healthcare teams such as nurses, doctors and assistant physicians to demonstrate the vital role PAs play in the current healthcare environment. With the increased patient load and shrinking medical workforce, there are fears that chronic disease management in primary and secondary care will be threatened. Therefore, health policymakers thought of developing a new mid-level practitioner role (such as PAs, ANPs and APs) that will augment physicians to cater for ever-growing complex medical needs of the patients. The role of PAs is comparable to many healthcare professionals, and one can say that the success of PA programmes has paved the way for the development of different other mid-level practitioner development initiatives. All these roles are there to support primary and secondary care physicians in both inpatient and outpatient settings in helping the patients. PAs are a force multiplier within the healthcare sector and can be seen as a valid solution to staff shortages faced by the healthcare systems around the world. We recommend further studies looking into different aspects of the role of a PA that could further provide our readers with clarity with regard to PAs.

摘要

医疗领域发生了巨大变化,主要是由于成本飙升、劳动力数量下降和患者期望等因素带来的压力。医疗系统提出的解决方案是将医师助理(PAs)引入劳动力队伍。我们旨在将医师助理与医疗团队的其他成员,如护士、医生和助理医师进行比较和对比,以展示医师助理在当前医疗环境中所发挥的重要作用。随着患者数量的增加和医疗劳动力的减少,人们担心初级和二级医疗中的慢性病管理将受到威胁。因此,卫生政策制定者考虑设立一种新的中级从业者角色(如医师助理、高级护理执业师和助理医师),以辅助医师满足患者日益复杂的医疗需求。医师助理的角色与许多医疗专业人员相当,可以说医师助理项目的成功为其他不同的中级从业者发展计划的开展铺平了道路。所有这些角色都是为了在住院和门诊环境中支持初级和二级医疗医师帮助患者。医师助理是医疗部门的力量倍增器,可以被视为解决全球医疗系统面临的人员短缺问题的有效方案。我们建议进一步研究医师助理角色的不同方面,这可以进一步让读者清楚了解医师助理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7829/6984170/35013d1ca8fd/cureus-0011-00000006469-i01.jpg

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