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Parents' willingness to have their child receive care by physician assistants in a pediatric emergency department

机译:父母愿意让孩子在小儿急诊科接受医师助理的照顾

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Objective:To determine the willingness of parents of children visiting a pediatric emergency department to have a physician assistant (PA) assess and treat their child and the waiting time reduction sufficient for them to choose to receive treatment by a PA rather than wait for a physician.Method:After describing the training and scope of practice of PAs, we asked caregivers of children triaged as urgent to nonurgent if they would be willing to have their child assessed and treated by a PA on that visit: definitely, maybe, or never. We also asked the minimum amount of waiting time reduction they would want to see before choosing to receive treatment by a PA rather than wait for a physician.Result:We approached 320 eligible subjects, and 273 (85.3%) consented to participate. Regarding whether they would be willing to have their child receive treatment by a PA, 140 (51.3%) respondents answered definitely, 107 (39.2%) said maybe, and 26 (9.2%) said never. Most respondents (64.1%) would choose to have their child seen by a PA instead of waiting for a physician if the waiting time reduction were at least 60 minutes (median 60 minutes [interquartile range 60 minutes]). Respondents' perception of the severity of their child's condition was associated with unwillingness to receive treatment by a PA, whereas child's age, presenting complaint, and actual waiting time were not.Conclusion:Only a small minority of parents of children visiting a pediatric emergency department for urgent to nonurgent issues are unwilling to have their child treated by PAs.
机译:目的:确定前往儿科急诊科的孩子的父母愿意让医生助理(PA)评估和治疗孩子的意愿以及减少的等待时间,足以使他们选择接受PA而不是等待医生的治疗方法:在描述了PA的训练和操作范围之后,我们询问了被分类为紧急到非紧急的儿童的看护者,他们是否愿意在访问期间让他们的孩子接受PA的评估和治疗:肯定,也许或从不。我们还询问了他们希望在选择接受PA治疗而不是等待医生之前希望减少的最小等待时间。结果:我们与320名合格的受试者进行了接触,其中273名(85.3%)同意参加。关于是否愿意让孩子接受PA的治疗,有140名(51.3%)的受访者明确回答,也许有107名(39.2%),有26名(9.2%)从未回答。如果等待时间减少了至少60分钟(中值60分钟[四分位间距60分钟]),则大多数受访者(64.1%)选择让他们的孩子去PA而不是等待医生。受访者对孩子病情严重程度的感知与不愿意接受PA的治疗有关,而孩子的年龄,提出投诉和实际等待时间却不相关。结论:只有少数父母的孩子前往儿科急诊科就诊。因为紧急或不紧急的问题不愿意让他们的孩子接受PA的治疗。

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