Advanced practice providers: An evolution of scope of practice and clinical integration across the surgical healthcare landscape

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery Pub Date : 2024-09-01 DOI:10.1016/j.scrs.2024.101039

Kelly M. Tyler M.D.

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引用次数: 0

Abstract

Advanced practice providers (APPs) have become an integral part of surgical practice over the past 50 years. Understanding the clinical roles of Physician Assistants (PAs) and Nurse Practitioners (NPs) provides insight into practice norms, collaborative opportunities, the nuances of APP independent practice trends, billing practices, and current practice challenges.

Exploring the history, education, and current practice environment of APPs allows a sophisticated understanding of their roles in the inpatient/facility and outpatient/office settings. This article explores the impact of APPs on access to care, and their role across the overall healthcare landscape in the United States particularly as government and healthcare continue to intersect.

The aim of this work is to provide the reader with a nuanced understanding of the factors influencing the current practice of APPs working in surgical fields in the United States and to foster an authentic appreciation of the existing complexities of APPs practicing in the field of surgery in the context of the current evolving national healthcare landscape.

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高级实践提供者：整个外科医疗领域的执业范围和临床整合的演变

在过去的 50 年中，高级医师（APP）已成为外科实践中不可或缺的一部分。通过了解医生助理 (PA) 和执业护师 (NP) 的临床角色，可以深入了解执业规范、合作机会、APP 独立执业趋势的细微差别、计费实践以及当前的执业挑战。探索 APP 的历史、教育和当前的执业环境，可以深入了解他们在住院/设施和门诊/办公室环境中的角色。这篇文章探讨了APP对获得医疗服务的影响，以及他们在美国整个医疗保健领域所扮演的角色，尤其是在政府和医疗保健不断交叉的情况下。这篇文章的目的是让读者对影响目前在美国外科领域执业的APP的各种因素有一个细致入微的了解，并在当前不断发展的国家医疗保健背景下，培养读者对APP在外科领域执业的现有复杂性的真实认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Colon and Rectal Surgery SURGERY-

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.