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推进创伤治疗实践:通过协作团队方法利用高级执业提供者改善患者预后。

Advancing the practice of trauma: utilizing advanced practice providers to improve patient outcomes through a collaborative team approach.

作者信息

Lasinski Alaina M, Shaughnessy Allysen, Reynolds Benjamin, Forsythe Raquel, Kay Annika B, Yorkgitis Brian K, Younge Brandy N, Christmas Ashley B, Claridge Jeffrey A

机构信息

Department of Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA.

Department of Surgery, University of Pittsburgh Medical Center Health System, Pittsburgh, Pennsylvania, USA.

出版信息

Trauma Surg Acute Care Open. 2024 Aug 21;9(1):e001281. doi: 10.1136/tsaco-2023-001281. eCollection 2024.

Abstract

Advanced practice providers (APPs) have become essential to trauma teams in the United States during the last few decades. The optimal utilization of APPs is not yet known and is likely highly variable secondary to many factors. We discuss three aspects of the multidisciplinary approach to caring for trauma patients. First, a review of the literature demonstrates that APPs in trauma improve quality of care, patient throughput, and decrease cost. We then report on models of APP utilization by comparing five trauma centers across the country, concluding that utilization remains highly variable due to several system and provider factors. The final portion of this review highlights current billing and coding practices in integrated teams considering recent changes to Centers for Medicare and Medicaid rules in 2024.

摘要

在过去几十年里,高级实践提供者(APPs)在美国创伤团队中已变得至关重要。APPs的最佳利用方式尚不清楚,并且由于许多因素,其利用情况可能差异很大。我们讨论了创伤患者多学科护理方法的三个方面。首先,文献综述表明,创伤领域的APPs可提高护理质量、患者周转率并降低成本。然后,我们通过比较全国五个创伤中心来报告APPs的利用模式,得出结论:由于几个系统和提供者因素,其利用情况仍然差异很大。本综述的最后一部分强调了综合团队当前的计费和编码做法,同时考虑到2024年医疗保险和医疗补助服务中心规则的近期变化。

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