Madhusoodanan Vinayak, Ramos Libert, Zucker Isaac J, Sathe Aditya, Ramasamy Ranjith
Vinayak Madhusoodanan, MD, is a Urology Resident at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami in Miami, FL. Libert Ramos, DNP, is a Advanced Practicing Registered Nurse at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami. Isaac J. Zucker, MS, is a Medicine Student at Desai Sethi Urology Institute, Miller School of Medicine, University of Miami and the Herbert Wertheim School of Medicine, Florida International University in Miami, FL. Aditya Sathe, BS, is a Medical Student at the College of Medicine, University of Tennessee Health Science Center in Memphis, TN. Ranjith Ramassamy, MD, is the director of Male Reproductive Medicine at the Department of Urology, University of Miami.
J Nurse Pract. 2023 Feb;19(2). doi: 10.1016/j.nurpra.2022.10.008. Epub 2022 Nov 10.
Advanced practice providers increasingly assume responsibility for prior authorizations (PAs). We hypothesized that the time burden of PAs will be correlated with increased approval. We collected several variables (ie, type, method, time spent, use of peer to peer, and outcome) for all PAs completed by a departmental nurse practitioner in 1 region. Chi-square tests and 2 sample tests were used to assess significance. There was no significant association between the method of request, the number of attempts, and the time spent to approved PA. Further research is needed to determine ways to decrease the time and opportunity cost associated with PAs.
高级执业提供者越来越多地承担起预先授权（PA）的责任。我们假设预先授权的时间负担将与批准率的提高相关。我们收集了某一地区一个部门的执业护士完成的所有预先授权的几个变量（即类型、方法、花费时间、使用同行沟通以及结果）。采用卡方检验和双样本检验来评估显著性。请求方法、尝试次数与批准预先授权所花费的时间之间没有显著关联。需要进一步研究以确定减少与预先授权相关的时间和机会成本的方法。
