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Service contribution and cost-effectiveness of specialist registrars in NHS trusts: a survey and costing analysis

机译:NHS信托中的专业注册服务商的服务贡献和成本效益:调查和成本分析

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Since the introduction of the European Working Time Directive, specialist registrars arguably contribute less to clinical service. The purpose of this study was to broadly quantify the service contribution of specialist registrars across a range of specialties and their value to an NHS organisation. A questionnaire-based survey of the clinical activities of specialist registrars in a large NHS trust was undertaken. Simple costing analyses of this {-}clinical activity were performed. Responses from 66 specialist registrars in 24 specialties showed an average of 51% overall clinical autonomy. Trainees attended an average of 2.7 outpatient clinics per week and spent 3.5 sessions a week doing ward work. Medical trainees took more referrals and attended more clinics. An analysis of costings suggested that surgical trainees might have generated around {pound}700,000 income per year for the trust. Overall, specialist registrars make a substantial contribution to NHS clinical service and are cost-effective.
机译:自从引入《欧洲工作时间指令》以来,专家注册商可以说对临床服务的贡献较小。这项研究的目的是广泛量化各个专业领域的专业注册服务机构的服务贡献及其对NHS组织的价值。对大型NHS信托中的专业注册服务商的临床活动进行了基于问卷的调查。对该临床活动进行了简单的成本分析。来自24个专业的66个专业注册服务机构的回复显示,平均总体临床自主权为51%。受训人员平均每周要到2.7家门诊诊所就诊,每周要花3.5堂课来做病房工作。医学实习生接受了更多的转诊,并参加了更多的诊所。对费用的分析表明,外科实习生可能每年为该信托产生约700,000英镑的收入。总体而言,专业的注册服务商为NHS临床服务做出了重大贡献,并且具有成本效益。

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