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首页> 外文期刊>Journal of the advanced practitioner in oncology >Understanding the Role of Advanced Practice Providers in Oncology in the United States
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Understanding the Role of Advanced Practice Providers in Oncology in the United States

机译：了解高级实践提供者在美国肿瘤中的作用

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Purpose: Advanced practice providers (APPs, which include nurse practitioners [NPs] and physician assistants [PAs]) are integral members of oncology teams. This study aims first to identify all oncology APPs and, second, to understand personal and practice characteristics (including compensation) of those APPs. Methods: We identified APPs who practice oncology from membership and claims data. We surveyed 3,055 APPs about their roles in clinical care. Results: We identified at least 5,350 APPs in oncology and an additional 5,400 who might practice oncology. Survey respondents totaled 577, which provided a 19% response rate. Results focused on 540 NPs and PAs. Greater than 90% reported satisfaction with career choice. Respondents identified predominately as white (89%) and female (94%). NPs and PAs spent the majority (80%) of time in direct patient care. The top four patient care activities were patient counseling (NPs, 94%; PAs, 98%), prescribing (NPs, 93%; PAs, 97%), treatment management (NPs, 89%; PAs, 93%), and follow-up visits (NPs, 81%; PAs, 86%). A majority of all APPs reported both independent and shared visits (65% hematology/ oncology/survivorship/prevention/pediatric he-matology/oncology; 85% surgical/ gynecologic oncology; 78% radiation oncology). A minority of APPs reported that they conducted only shared visits. Average annual compensation was between $113,000 and $115,000, which is approximately $10,000 higher than average pay for nononcology APPs. Conclusion: We identified 5,350 oncology APPs and conclude that number may be as high as 7,000. Survey results suggest that practices that incorporate APPs routinely rely on them for patient care. Given the increasing number of patients with and survivors of cancer, APPs are important to ensure access to quality cancer care now and in the future.
机译：目的：高级练习提供商（包括护士从业者[NPS]和医师助理[PAS]）的应用程序是肿瘤学团队的组成部分。本研究首先旨在识别所有肿瘤的应用程序，而是了解这些应用程序的个人和实践特征（包括赔偿）。方法：我们确定了从成员资格和索赔数据实行颁发的应用程序。我们调查了3,055个应用程序在临床护理中的角色。结果：我们在肿瘤学中识别至少5,350个应用程序和额外的5,400人可能会练习肿瘤学。调查受访者总计577人，提供了19％的响应率。结果集中在540个NPS和PAS上。大于90％的人报告的职业选择满意。受访者主要鉴定为白色（89％）和女性（94％）。 NPS和PAS在直接患者护理中花费了大多数（80％）的时间。前四名患者护理活动是患者咨询（NPS，94％; PAS，98％），处方（NPS，93％; PAS，97％），治疗管理（NPS，89％; PAS，93％），并关注-Up访问（NPS，81％; PAS，86％）。所有APP的大多数都报告了独立和共享的访问（65％的血液学/肿瘤学/生存/预防/儿科He-Matology /肿瘤学; 85％手术/妇科肿瘤学; 78％放射肿瘤学）。少数应用程序报告说，他们仅进行了共享访问。年均赔偿金额为113,000美元至115,000美元，比非动力学应用程序的平均工资高约10,000美元。结论：我们确定了5,350个肿瘤学应用，并得出结论，数字可能高达7,000。调查结果表明，将应用程序常规地依赖于患者护理的实践。鉴于癌症患者越来越多的患者，应用程序对于确保现在和将来的优质癌症照顾非常重要。

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