Das Rishub K, Jagasia Puja M, Bailey Amanda E, Mubang Ronnie, Drolet Brian C
Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
J Burn Care Res. 2025 Jan 24;46(1):166-170. doi: 10.1093/jbcr/irae179.
This study evaluated the prevalence and characteristics of advanced practice providers, including nurse practitioners and physician assistants, who provide care related to burns in the United States from 2013 to 2022 using national claims data. Our analysis was a retrospective, large cohort study evaluating debridement, wound care, and office-based services provided by advanced practice providers from 2013 to 2022 using the Medicare Provider Utilization and Payment Data Public Use Files from the CMS. The reported provider type and billing codes were used to identify healthcare professionals providing burn care. Trends over the study period and available data about care provided were analyzed. From 2013 to 2022, burn care providers included 6918 (43.3%) surgeons, 4264 (26.7%) other physicians, and 4783 (30.0%) advanced practice providers. Overall, the number of advanced practice providers who billed for burn care increased by 250.4% from 714 in 2013 to 2502 in 2022. Compared with physicians, advanced practice providers were more likely to be female and provide care in micropolitan areas with less than 50,000 people. Based on these trends, we project that the number of advanced practice providers providing services related to burns will increase by 56.7% from 2502 in 2022 to 3921 (95% CI, 3541-4303; R2 = 0.97) in 2030. With a growing need for burn care and predicted shortages in the surgeon workforce, the scope of practice and integration of advanced practice providers merits further discussion and evaluation.
本研究利用全国索赔数据评估了2013年至2022年在美国提供烧伤护理的高级执业人员（包括执业护士和医师助理）的患病率及特征。我们的分析是一项回顾性大队列研究，利用医疗保险和医疗补助服务中心（CMS）的医疗保险提供者利用和支付数据公共使用文件，评估了2013年至2022年高级执业人员提供的清创、伤口护理和门诊服务。报告的提供者类型和计费代码用于识别提供烧伤护理的医疗专业人员。分析了研究期间的趋势以及所提供护理的可用数据。2013年至2022年期间，烧伤护理提供者包括6918名（43.3%）外科医生、4264名（26.7%）其他医生和4783名（30.0%）高级执业人员。总体而言，开具烧伤护理账单的高级执业人员数量从2013年的714人增加到2022年的2502人，增长了250.4%。与医生相比，高级执业人员更有可能为女性，且在人口少于5万的微都市地区提供护理。基于这些趋势，我们预计提供烧伤相关服务的高级执业人员数量将从2022年的2502人增加56.7%，到2030年达到3921人（95%可信区间，3541 - 4303；R2 = 0.97）。鉴于对烧伤护理的需求不断增加以及预计外科医生劳动力短缺，高级执业人员的执业范围和整合值得进一步讨论和评估。
