英国首批接受医学教育的医师助理融入英国国家医疗服务体系（NHS）二级医疗服务的促进因素。
Facilitators to the integration of the first UK-educated physician associates into secondary care services in the NHS.
作者信息
Ritsema Tamara S, Navarro-Reynolds Lillian
机构信息
The George Washington University School of Medicine and Health Sciences, Washington DC, USA, and honorary senior lecturer, St George's, University of London, Physician Associate Programme, London, UK.
Oregon Health and Sciences University School of Medicine, Portland, USA.
出版信息
Future Healthc J. 2023 Mar;10(1):31-37. doi: 10.7861/fhj.2022-0104.
The physician associate (PA) profession is relatively new to the British NHS. Little research has been conducted on the facilitators to integrating these new health professionals into a secondary care service. Thus, a grounded theory qualitative study was conducted. PAs who were educated in the UK and were the first PA in their secondary care service were interviewed, as well as doctors who were on the team when the PA started. Ten facilitators were identified, comprising three facilitator themes: PA involvement in role and skill development is crucial; having a champion for the PAs promotes integration; and principled behaviour by the PA allows the role to develop safely and effectively. Having a clearly defined role for the PA is the primary facilitating factor. This research identified approaches that both PAs and hospital trusts can implement to facilitate the introduction of PAs to secondary care services in the NHS.
医师助理（PA）这一职业在英国国民医疗服务体系（NHS）中相对较新。关于如何促进这些新的医疗专业人员融入二级医疗服务，所开展的研究较少。因此，进行了一项基于扎根理论的定性研究。研究采访了在英国接受教育且是其所在二级医疗服务机构的首位医师助理，以及医师助理入职时所在团队的医生。确定了十个促进因素，包括三个促进因素主题：医师助理参与角色和技能发展至关重要；有一位支持医师助理的倡导者可促进融合；医师助理的原则行为能使该角色安全有效地发展。为医师助理明确界定角色是首要促进因素。这项研究确定了医师助理和医院信托机构都可实施的方法，以促进在NHS中将医师助理引入二级医疗服务。
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