1
|
Hristova P, Bruza-Augatis M, Platikanova M. PAs in the Bulgarian healthcare system. JAAPA 2023; 36:44-46. [PMID: 37884039 DOI: 10.1097/01.jaa.0000979476.96552.66] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
ABSTRACT This article examines the importance of the physician associate/assistant (PA) profession in the healthcare system in Bulgaria. PAs in the country primarily work in emergency medicine and surgery, and are needed in other clinical settings, such as obstetrics and gynecology and psychiatric clinics, that are experiencing challenges because of physician shortages.
Collapse
Affiliation(s)
- Petya Hristova
- Petya Hristova is an assistant professor in the Department of Hygiene, Epidemiology, Infectious Diseases, Microbiology, and Parasitology at Trakia University in Stara Zagora, Bulgaria. Mirela Bruza-Augatis is a research scientist at the National Commission on Certification of Physician Assistants in Johns Creek, Ga., and an adjunct faculty member in the PA program at Seton Hall University in Nutley, N.J. Magdalena Platikanova is a professor in the Department of Hygiene, Epidemiology, Infectious Diseases, Microbiology, and Parasitology at Trakia University. The authors have disclosed no potential conflicts of interest, financial or otherwise
| | | | | |
Collapse
|
2
|
Murphy NJ, Groen RS. Interprofessional Care in Obstetrics and Gynecology. Obstet Gynecol Clin North Am 2022; 49:841-868. [DOI: 10.1016/j.ogc.2022.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
3
|
Halvachizadeh S, Goezmen S, Schuster S, Teuben M, Baechtold M, Probst P, Hauswirth F, Muller MK. The implementation of physicians assistant in a surgical ward improves continuity in daily clinical work and increases comprehensibility of nurses and physicians. Patient Saf Surg 2022; 16:34. [DOI: 10.1186/s13037-022-00344-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 10/23/2022] [Indexed: 11/09/2022] Open
Abstract
Abstract
Introduction
Physician Assistant (PA) have been deployed to increase the capacity of a team, supporting continuity and medical cover. The goal of this study was to assess the implementation of PAs on continuity of surgical rounds, on the collaboration of nurses and physicians and on support of administrative work.
Methods
This cross-sectional survey was performed on nurses and physicians who work full-time at a surgical ward in a Swiss reference center. PAs were introduced in our institution in 2019. Participants answered a self-developed questionnaire 6 and 12 months after the implementation of PAs. Administrative work, teamwork, improvement of workflow, and training of physicians has been assessed. Participants answered questions on a 5-point Likert scale and were stratified according to profession (nurse, physician).
Results
Participants (n = 53) reported a positive effect on the regular conduct of rounds (2.9, SD 1.1 points after 6 weeks and 3.5, SD 1.1 points after 12 weeks, p = 0.05). A significant improvement of nurse-doctor collaboration has been reported (3.6, SD 1.0 and 4.2, SD 0.8, p = 0.05). Nurses (n = 28, 52.8%) reported the that PAs are integrated in the physicians team rather than the nurses team (4.0, SD 0.0 points and 4.4, SD 0.7 points, p = 0.266) and a significant beneficial effect on the surgical clinic (3.7, SD 1.0 points and 4.4, SD 0.8 points, p = 0.043). Improved overall management of surgical cases was reported by the physicians (n = 25, 47.2%) (4.8, SD 0.4 and 4.3, SD 0.6, p = 0.046).
Conclusion
The implementation of PA has improved the collaboration of physicians and nurses substantially. Continuity of rounds has improved and the administrative workload for residents decreased substantially. Overall, the implementation of PA was reported to be beneficial for the surgical clinic.
Collapse
|
4
|
Starck C, Beckmann A, Böning A, Gummert J, Lehmann S, Hoffmann M, Hüttl P, Markewitz A, Borger M, Falk V. [Physician Assistants - Eine effektive und sinnvolle Erweiterung des herzchirurgischen Behandlungsteams]. Thorac Cardiovasc Surg 2021; 70:136-142. [PMID: 34963180 DOI: 10.1055/s-0041-1740534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
High-quality care of cardiac surgical patients requires the employment and recruiting of qualified medical professionals with minimal fluctuation of staff members. This aspect becomes increasingly difficult due to the current shortage of skilled professionals as well as the present framework conditions of the German Healthcare System. The implementation of physician assistants (PA) in cardiac surgery departments may augment existing human resource concepts in an innovative and sustainable manner, tailored to meet department specific requirements. Long-term experiences from Anglo-American countries prove that the implementation of a PA system may stabilize or potentially even improve medical treatment quality. At the same time, cardiac surgical residents may be relieved from routine tasks, releasing additional time resources for a solid and diverse specialist training. Furthermore, positive effects on economic aspects of an institution may be possible. The required delegation of medical tasks to allied health professionals already has a legal basis in Germany, while a specific legal framework tailored to physician assistants does not exist yet. In this context, it is an important aspect that medical associations define a reliable catalog of tasks that may be delegated to physician assistants. Under evaluation of medical, legal and economic aspects and in a structured manner, this position paper defines medical tasks of physician assistants in cardiac surgery.
Collapse
Affiliation(s)
- Christoph Starck
- Klinik für Herz-, Thorax- und Gefäßchirurgie, Deutsches Herzzentrum Berlin, Berlin, Germany
| | - Andreas Beckmann
- Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, Langenbeck-Virchow-Haus, Berlin, Germany
| | - Andreas Böning
- Klinik für Herz- und Gefäßchirurgie, Universitätsklinikum Giessen, Giessen, Germany
| | - Jan Gummert
- Klinik für Thorax- und Kardiovaskularchirurgie, Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen, Germany
| | - Sven Lehmann
- Klinik für Herzchirurgie, Klinikum Links der Weser, Bremen, Germany
| | | | - Peter Hüttl
- Rechtsanwaltskanzlei Dr. Heberer & Kollegen, München, Germany
| | - Andreas Markewitz
- Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, Langenbeck-Virchow-Haus, Berlin, Germany
| | - Michael Borger
- Universitätsklinik für Herzchirurgie, Herzzentrum Leipzig, Leipzig, Germany
| | - Volkmar Falk
- Klinik für Herz-, Thorax- und Gefäßchirurgie, Deutsches Herzzentrum Berlin, Berlin, Germany.,Klinik für Kardiovaskuläre Chirurgie, Charité Universitätsmedizin Berlin, Berlin, Germany
| |
Collapse
|