儿科耳鼻喉/头颈外科的高级实践提供者：临床和外科生产力的单一机构分析

IF 1.3 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-09-05 DOI:10.1016/j.ijporl.2025.112549

Winston R. Owens , Kristina P. Marsack , Jessie Marcet-Gonzalez , Matthew J. Parham , Larry H. Hollier Jr. , Anna H. Messner

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引用次数: 0

摘要

在医生短缺的情况下，高级实践提供者（APPs）最初提供初级保健；然而，他们已经扩大了他们在不同专业的实践。虽然应用程序的好处是众所周知的，但关于应用程序如何提高儿科耳鼻喉科/头颈外科（OHNS）的工作效率的文献很少。本研究旨在确定APP集成对德克萨斯州休斯顿一级儿科医院儿科OHNS的影响。方法回顾性分析2011年10月至2024年9月外科执行委员会年报资料。描述性分析完成了临床和手术量，手术转换率和工作相对价值单位（wRVU）趋势的生产力。结果自2012财年以来，APP与MDs的比率几乎翻了一番，从每4.5 MDs 1个APP增加到2024年的每2.45 MDs 1个APP。APP诊所最大的访问量出现在2024年，达到16881人次，比2012年增长了3.5倍。从2012年到2024年，业务量增长了300%以上。自2012年以来，app显著增加了住院咨询、后续访问和OHNS常见程序的数量。据观察，从2012年到2024年，该部门的wRVUs增加了近四倍。结论应用程序扩大了外科医生的执业范围，为儿科耳鼻喉/头颈外科的实践带来了临床效益和经济效益。有组织的培训计划使APP学员做好充分准备，以增加获得护理的机会，改善围手术期流程，并使外科医生能够在其执照的最高水平上发挥作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Advanced practice providers in pediatric otolaryngology/head and neck surgery: A single-institution analysis of clinical and surgical productivity

Introduction

Advanced practice providers (APPs) initially delivered primary care amidst physician shortages; however, they have since expanded their practice across various specialties. While benefits of APPs are known, there is a paucity of literature regarding how APPs can increase productivity within pediatric otolaryngology/head and neck surgery (OHNS). This study aims to identify the impact of APP integration within pediatric OHNS at a level I pediatric hospital in Houston, Texas.

Methods

Retrospective review of data from the Surgery Department Executive Committee annual reports from October 2011 to September 2024 was conducted. Descriptive analysis was completed with productivity in clinic and operative volumes, surgical conversion rates, and work relative value unit (wRVU) trends.

Results

Since fiscal year 2012, the ratio of APPs to MDs nearly doubled from 1 APP per 4.5 MDs to 1 APP per 2.45 MDs in 2024. The largest observed APP clinic volume was in 2024 at 16,881 visits, over 3.5x greater than in 2012. Operative volume increased by over 300 % from 2012 to 2024. APPs have significantly increased the number of inpatient consults, subsequent visits, and common OHNS procedures completed since 2012. Division wRVUs were observed to increase nearly four-fold from 2012 to 2024.

Conclusion

APPs promote surgeon scope of practice, producing clinical and financial benefits for pediatric otolaryngology/head and neck surgery practices. Structured training programs adequately prepare APP trainees to increase access to care, improve perioperative flow, and allow surgeons to function at the top of their licensure.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.