Salcido R, Fisher S B, Reinstein L, Willis J B
University of Kentucky, Department of Rehabilitation Medicine, Lexington 40504.
Arch Phys Med Rehabil. 1993 Aug;74(8):826-9. doi: 10.1016/0003-9993(93)90008-x.
This study was undertaken to determine the utilization of physician assistants (PAs) in physical medicine and rehabilitation (PM&R). Survey questionnaires were sent to members of the American Academy of Physical Medicine and Rehabilitation, members of the American Academy of Physician Assistants, and administrators of free-standing rehabilitation facilities. One hundred thirty-seven of 1,082 physiatrists (13% of those responding) reported PAs employed in their practice settings, 83 of 549 PAs (15% of those responding) identified PM&R as their specialty, and 17 of 65 hospital administrators, (27% of those responding) reported PAs working at their facility. Seventy-nine percent (713 of 903) of physicians and 77% (50 of 65) of administrators were unaware that PA services provided in inpatient settings are reimbursed by Medicare. Eighty-four percent (108 of 129) of physiatrists employing PAs indicated that they would continue to do so even if the supply of physiatrists were adequate. PA responsibilities were concentrated in inpatient clinical areas. It is concluded that PAs are an underutilized source of health care for rehabilitation patients. Increased professional visibility and formal specialty training are recommended to enhance their contribution to the field.
本研究旨在确定医师助理（PA）在物理医学与康复（PM&R）领域的使用情况。调查问卷被发送给美国物理医学与康复学会成员、美国医师助理学会成员以及独立康复机构的管理人员。1082名物理治疗师中有137名（占回复者的13%）报告其执业机构雇佣了医师助理；549名医师助理中有83名（占回复者的15%）将物理医学与康复确定为其专业领域；65名医院管理人员中有17名（占回复者的27%）报告医师助理在其机构工作。903名医生中有79%（713名）以及65名管理人员中有77%（50名）不知道医疗保险会报销住院环境中由医师助理提供的服务。雇佣医师助理的物理治疗师中有84%（129名中的108名）表示，即使物理治疗师供应充足，他们仍会继续雇佣。医师助理的职责集中在住院临床领域。研究得出结论，医师助理是康复患者未得到充分利用的医疗保健资源。建议提高专业知名度并提供正规的专业培训，以增强他们对该领域的贡献。
