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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.

DOI:10.1136/tsaco-2023-001281
PMID:39175840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11340716/
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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Advancing the practice of trauma: utilizing advanced practice providers to improve patient outcomes through a collaborative team approach.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。
Trauma Surg Acute Care Open. 2024 Aug 21;9(1):e001281. doi: 10.1136/tsaco-2023-001281. eCollection 2024.
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本文引用的文献

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Physician assistants/associates at 6 decades.医生助理/医生助手历经 6 个十年。
Am J Manag Care. 2021 Nov;27(11):498-504. doi: 10.37765/ajmc.2021.88777.
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Is more better? Do statewide increases in trauma centers reduce injury-related mortality?更多更好吗?全州范围内增加创伤中心是否能降低与伤害相关的死亡率?
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Surgical Faculty Perception of Service-Based Advanced Practice Provider Impact: A Southwestern Surgical Congress Multicenter Survey.外科教员对以服务为基础的高级实践提供者影响的认知:西南外科学会多中心调查。
Am Surg. 2021 Jun;87(6):971-978. doi: 10.1177/0003134820956929. Epub 2020 Dec 9.
4
Rate of Nonsurgical Admissions at a Level 1 Trauma Center: Impact of a Trauma Nurse Practitioner Model.一级创伤中心非手术入院率:创伤护士从业者模式的影响。
J Trauma Nurs. 2020 May/Jun;27(3):163-169. doi: 10.1097/JTN.0000000000000506.
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Nurse Practitioners and Physician Assistants in Acute and Critical Care: A Concise Review of the Literature and Data 2008-2018.急危重症领域的护士从业者和医师助理:2008-2018 年文献和数据的简要回顾。
Crit Care Med. 2019 Oct;47(10):1442-1449. doi: 10.1097/CCM.0000000000003925.
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Impact of the Affordable Care Act on trauma and emergency general surgery: An Eastern Association for the Surgery of Trauma systematic review and meta-analysis.平价医疗法案对创伤和急诊普通外科的影响:东部创伤外科学会的系统评价和荟萃分析。
J Trauma Acute Care Surg. 2019 Aug;87(2):491-501. doi: 10.1097/TA.0000000000002368.
7
Trauma advanced practice provider programme development in an academic setting to optimize care coordination.在学术环境中开展创伤高级实践提供者项目以优化护理协调。
Trauma Surg Acute Care Open. 2017 Jan 27;2(1):e000068. doi: 10.1136/tsaco-2016-000068. eCollection 2017.
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An Outcome Analysis of Nurse Practitioners in Acute Care Trauma Services.急性护理创伤服务中医师助理的结果分析
J Trauma Nurs. 2017 Nov/Dec;24(6):365-370. doi: 10.1097/JTN.0000000000000327.
9
The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review.高级实践护理角色对急诊和危重症护理环境中的护理质量、临床结果、患者满意度和成本的影响:系统评价。
Hum Resour Health. 2017 Sep 11;15(1):63. doi: 10.1186/s12960-017-0237-9.
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Electronic Health Record Effects on Work-Life Balance and Burnout Within the I Population Collaborative.电子健康记录对I人群协作组工作与生活平衡及职业倦怠的影响。
J Grad Med Educ. 2017 Aug;9(4):479-484. doi: 10.4300/JGME-D-16-00123.1.