医疗文书员对儿科初级保健实践中相对价值单位的影响。
The Impact of Medical Scribes on Relative Value Units in a Pediatric Primary Care Practice.
机构信息
Department of Learning and Performance Systems, Penn State University (TA Phillips), State College, Pa.
Department of Communication Arts and Sciences, Penn State University (KA Foley), State College, Pa.
出版信息
Acad Pediatr. 2021 Apr;21(3):542-547. doi: 10.1016/j.acap.2020.05.009. Epub 2020 May 20.
OBJECTIVE
Our study assessed the impact of adding medical scribes to an academic pediatric primary practice by measuring the relationship between work relative value units (wRVUs) and use of the medical scribe.
METHODS
This is a retrospective comparative study on the effect of medical scribes on average wRVUs per patient encounter. wRVUs were abstracted from procedure codes in the billing system.
RESULTS
Six clinicians performed 2277 patient visits included in the study over 2 different time periods during 2017 and 2018. The first period was without the use of medical scribes and the second period included scribes. Average clinician wRVU production per visit increased by 7.68% (P < .001) with medical scribes over the previous period without them.
CONCLUSIONS
This study shows that scribes contribute to improving the wRVU per visit in a primary pediatric practice. This finding is consistent with other research showing that scribes help increase volume and improve wRVUs for specialists who perform complex procedures.
目的
通过衡量工作相对价值单位（wRVU）与医疗抄写员使用之间的关系，评估在学术儿科初级实践中添加医疗抄写员对医疗抄写员的影响。
方法
这是一项关于医疗抄写员对每位患者就诊平均 wRVU 影响的回顾性比较研究。wRVU 是从计费系统中的程序代码中提取的。
结果
在 2017 年和 2018 年的两个不同时期，六名临床医生进行了 2277 次患者就诊，这些就诊都包含在研究中。第一个时期没有使用医疗抄写员，第二个时期包括抄写员。与前一时期相比，使用医疗抄写员后，每位临床医生的就诊平均 wRVU 产量增加了 7.68%（P<0.001）。
结论
这项研究表明，抄写员有助于提高初级儿科实践中的每次就诊 wRVU。这一发现与其他研究一致，即抄写员有助于增加执行复杂程序的专家的数量并提高 wRVU。
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