我们如何在新冠疫情期间借助医师助理调整创伤与矫形科住院服务，以支持骨科团队。
How we adapted the T&O inpatient service during the COVID-19 pandemic with physician associates to support the orthopaedic team.
作者信息
Tucker Roz, Kristinsson Sverrir, Benny Divya, Khan Zainab, Oni Tofunmi, Smith Andrew
机构信息
QEQM Hospital, Margate, UK.
出版信息
Future Healthc J. 2021 Jul;8(2):e288-e292. doi: 10.7861/fhj.2020-0206.
INTRODUCTION
In March 2020, due to the COVID-19 pandemic, there were increasing demands on medical and intensive care departments in the UK. Medical staff from surgical departments were redeployed. The aim of this study was to determine whether the department was able to maintain standards with the use of the physician associate / medical doctor (PA/MD) model of care.
METHODS
A mix of questionnaires and audit data was collected prospectively and compared with pre-COVID and the general surgical team which did not have PAs.
RESULTS
Sixty-five per cent of responses indicated an improvement compared with pre-COVID conditions and 35% indicated care was the same. The electronic discharge notification audit showed an 89% completion rate for orthopaedics compared with 73% for general surgery. Venous thromboembolism assessment compliance was better compared with general surgery.
CONCLUSION
Overall, the study supports the hypothesis that a PA/MD model of care is non-inferior to a MD-only model of care and was effective.
引言
2020年3月，由于新冠疫情，英国对医疗和重症监护科室的需求不断增加。外科部门的医务人员被重新调配。本研究的目的是确定该科室在采用医师助理/医生（PA/MD）护理模式时是否能够维持标准。
方法
前瞻性收集问卷和审计数据，并与新冠疫情前以及没有医师助理的普通外科团队进行比较。
结果
65%的回复表明与新冠疫情前相比有所改善，35%表明护理情况相同。电子出院通知审计显示，骨科的完成率为89%，而普通外科为73%。与普通外科相比，静脉血栓栓塞评估的依从性更好。
结论
总体而言，该研究支持以下假设，即PA/MD护理模式不劣于仅由医生组成的护理模式，且是有效的。
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