肝移植中的 PA 和 NP：认知、实施和效果。
PAs and NPs in liver transplantation: Perceptions, implementation, and effect.
机构信息
Sarah Nargiso practices in abdominal organ transplant surgical medicine at Keck Hospital of the University of Southern California (USC) in Los Angeles. Mary Lo is a statistician in the Department of Population and Public Health Sciences at USC's Keck School of Medicine in Los Angeles. Leyda Ramos practices in abdominal organ transplant surgical medicine at Keck Hospital. Amarilis Bolaños is a research coordinator at USC's Keck School of Medicine. Evelyn Lee is an undergraduate research assistant at USC. Linda Sher is a professor of clinical surgery; practices in hepatobiliary and pancreatic surgery and transplant surgery; and is chief of the division of clinical research at USC's Keck School of Medicine. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2024 Oct 1;37(10):1-7. doi: 10.1097/01.JAA.0000000000000125. Epub 2024 Sep 24.
OBJECTIVES
This study assessed the use and perceptions of physician associates/assistants (PAs) and NPs at liver transplant centers and sought to determine their financial effect.
METHODS
Leaders of liver transplant programs performing 25 or more transplants in 2020 were contacted to complete an 11-question survey about the role and effect of PAs and NPs in liver transplant. A single-center retrospective analysis compared length of stay (LOS) and readmission rates for primary liver transplants and simultaneous liver-kidney transplants before and after a dedicated PA team was established. Chi-square and t -test analyses were performed.
RESULTS
The survey achieved a 77% response rate, and 98% of institutions reported using PAs and NPs. The single-center study found the mean LOS post-transplant was significantly shorter in the post-PA cohort ( P = .0005). No significant difference was found in 30-day readmission rates.
CONCLUSIONS
PAs and NPs are used broadly across the post-liver transplant care continuum. Using LOS as a surrogate financial marker suggests that a dedicated PA and NP team may contribute to cost savings.
目的
本研究评估了医师助理/助手（PAs）和 NPs 在肝移植中心的使用情况和认知，并试图确定其对财务的影响。
方法
联系了 2020 年进行了 25 例或以上肝移植的肝移植项目的负责人，以完成一份关于 PAs 和 NPs 在肝移植中的作用和影响的 11 个问题的调查。单中心回顾性分析比较了在建立专门的 PA 团队前后原发性肝移植和同时肝-肾移植的住院时间（LOS）和再入院率。进行了卡方检验和 t 检验分析。
结果
该调查的回复率达到了 77%，98%的机构报告使用了 PAs 和 NPs。单中心研究发现，PA 后组的移植后平均 LOS 显著缩短（P=0.0005）。30 天内再入院率无显著差异。
结论
PAs 和 NPs 在肝移植后护理连续体中得到广泛应用。使用 LOS 作为替代财务指标表明，专门的 PA 和 NP 团队可能有助于节省成本。
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