Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, California, USA.
Brigham and Women's Hospital, Boston, Massachusetts, USA.
J Hosp Med. 2022 Mar;17(3):186-191. doi: 10.1002/jhm.12788. Epub 2022 Feb 10.
This survey study aimed to provide a contemporary appraisal of advanced practice provider (APP) practice and to summarize perceptions of the benefits and challenges of integrating APPs into adult academic hospital medicine (HM) groups. We surveyed leaders of academic HM groups. We received responses from 43 of 86 groups (50%) surveyed. Thirty-four (79%) reported that they employed APPs. In most groups (85%), APPs were reported to perform daily tasks of patient care, including rounding and documentation. Less than half of the groups reported that APPs had completed HM-specific postgraduate training. The reported benefits of APPs included improved perceived quality of care and greater volume of patients that could be seen. Reported challenges included training requirements and support for new hires. Further investigation is needed to determine which APP team structures deliver the highest quality care. There may be a role for expanding standardized competency-based postgraduate training for APPs planning to practice HM.
本调查研究旨在对高级实践提供者（APP）的实践进行当代评估，并总结将 APP 整合到成人学术医院医学（HM）团队中的益处和挑战。我们调查了学术 HM 团队的领导。我们收到了 86 个调查小组中 43 个小组（50%）的回复。34 个（79%）报告称他们雇用了 APP。在大多数小组（85%）中，报告称 APP 执行日常患者护理任务，包括查房和记录。不到一半的小组报告称 APP 已完成 HM 特定的研究生培训。报告的 APP 益处包括提高了感知到的护理质量和可以看到的更多患者数量。报告的挑战包括培训要求和对新员工的支持。需要进一步调查确定哪种 APP 团队结构提供最高质量的护理。对于计划从事 HM 实践的 APP，可能需要扩大基于标准化能力的研究生培训。
