{"id":7590,"date":"2023-02-17T13:03:50","date_gmt":"2023-02-17T10:03:50","guid":{"rendered":"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/"},"modified":"2023-02-17T13:03:50","modified_gmt":"2023-02-17T10:03:50","slug":"gemischtes-modell-warum-ein-arztbesuch-in-der-notaufnahme-keine-selbstverstandlichkeit-ist","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/de\/gemischtes-modell-warum-ein-arztbesuch-in-der-notaufnahme-keine-selbstverstandlichkeit-ist\/","title":{"rendered":"\u201eBlended Model\u201c: Warum ein Arztbesuch in der Notaufnahme keine Selbstverst\u00e4ndlichkeit ist"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er.png\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p>Haben Sie schon einmal die Notaufnahme eines Krankenhauses besucht? M\u00f6glicherweise haben Sie keinen Arzt aufgesucht und sich stattdessen von einer Krankenschwester untersuchen lassen. Der Grund daf\u00fcr, dass es keine Garantie daf\u00fcr gibt, dass man bei seinem Besuch in der Notaufnahme einen Arzt aufsucht, ist das wenig bekannte \u201egemischte Modell\u201c.<\/p>\n<p>Viele Krankenh\u00e4user lagern ihre Notaufnahmen an medizinische Personaldienstleister wie American Physician Partners (APP) aus. APP, ein Unternehmen im Besitz von Private-Equity-Investoren, besch\u00e4ftigt demnach weniger \u00c4rzte in seinen Notaufnahmen, um Kosten zu sparen und den Umsatz zu steigern&nbsp;<a href=\"https:\/\/www.documentcloud.org\/documents\/23605675-american-physician-partners-redact\" rel=\"nofollow noopener\" target=\"_blank\">ein vertrauliches Unternehmensdokument<\/a>.<\/p>\n<p>\u00c4rzte werden jetzt von Krankenpflegern und Arzthelferinnen, die zusammen als \u201eMid-Level-Praktiker\u201c bezeichnet werden, ins Abseits gedr\u00e4ngt. Diese Fachkr\u00e4fte sind in der Lage, viele Aufgaben zu erf\u00fcllen und nahezu die gleichen Einnahmen zu erwirtschaften, erhalten aber weniger als die H\u00e4lfte des Gehalts eines Arztes.<\/p>\n<p>\u201eEs ist eine relativ einfache Gleichung\u201c, sagte Dr. Robert McNamara, Gr\u00fcnder der American Academy of Emergency Medicine und Lehrstuhlinhaber f\u00fcr Notfallmedizin an der Temple University <a href=\"https:\/\/edition.cnn.com\/2023\/02\/16\/health\/er-doctors-khn-partner\" rel=\"nofollow noopener\" target=\"_blank\">CNN<\/a>. \u201eIhr gr\u00f6\u00dfter Ausgabenposten ist der staatlich gepr\u00fcfte Notarzt. Deshalb wollen sie diese Kosten so gering wie m\u00f6glich halten.\u201c<\/p>\n<div id=\"dfp-ad-oop2\" class=\"dfp-tag-wrapper\"> <\/div>\n<p>APP nannte es ein \u201egemischtes Modell\u201c und sagte, es sei eine M\u00f6glichkeit, sicherzustellen, dass alle Notaufnahmen voll besetzt bleiben. Auf diese Weise k\u00f6nnen \u00c4rzte, Krankenpfleger und Arzthelferinnen \u201edie Pflege in vollem Umfang leisten\u201c, hie\u00df es weiter.<\/p>\n<p>Neben der offensichtlichen Bef\u00fcrchtung, dass eine Person m\u00f6glicherweise nicht ausreichend versorgt wird, behaupten Kritiker, dass das Modell die Wahrscheinlichkeit von Fehldiagnosen und h\u00f6heren Arztrechnungen erh\u00f6ht.&nbsp;<\/p>\n<p>In einer Studie <a href=\"https:\/\/www.nber.org\/papers\/w30608\" rel=\"nofollow noopener\" target=\"_blank\">ver\u00f6ffentlicht<\/a> Im Oktober wurden vom National Bureau of Economic Research etwa 1,1 Millionen Besuche bei 44 Notaufnahmen in der gesamten Veterans Health Administration analysiert. Hier d\u00fcrfen Krankenpfleger Patienten ohne \u00e4rztliche Aufsicht behandeln.<\/p>\n<p>Die Studie ergab, dass die Behandlung durch eine Krankenschwester zu einem Anstieg der Pflegekosten um 7% und einer Verl\u00e4ngerung der Verweildauer um 11% f\u00fchrte.&nbsp;<\/p>\n<p>\u201eEs ist nicht nur eine einfache Frage, ob wir \u00c4rzte durch Krankenpfleger ersetzen k\u00f6nnen oder nicht\u201c, sagte Yiqun Chen, Co-Autor und Assistenzprofessor f\u00fcr Wirtschaftswissenschaften an der University of Illinois-Chicago. \u201eEs h\u00e4ngt davon ab, wie wir sie nutzen. Wenn wir sie nur als unabh\u00e4ngige Anbieter nutzen, insbesondere \u2026 f\u00fcr relativ komplizierte Patienten, scheint das kein sehr sinnvoller Nutzen zu sein.\u201c<\/p>\n<p>Aufgrund des Mangels an eindeutigen Beweisen f\u00fcr die negativen Auswirkungen der Substitution <a href=\"https:\/\/www.medicaldaily.com\/doctors-save-man-infected-extremely-rare-brain-eating-amoeba-old-uti-drug-468099\">\u00c4rzte<\/a> Mit Nicht\u00e4rzten wird das gemischte Modell wahrscheinlich fortbestehen, sagte Dr. Cameron Gettel, Assistenzprofessor f\u00fcr Notfallmedizin an der Yale.<\/p>\n<p>\u201eSchlimmere Ergebnisse f\u00fcr die Patienten wurden nicht \u00fcberall gezeigt\u201c, sagte er. \u201eUnd ich denke, bis sich das zeigt, werden sie weiterhin eine zunehmende Rolle spielen.\u201c<\/p>\n<p><a href=\"https:\/\/www.medicaldaily.com\/blended-model-why-seeing-doctor-not-certainty-er-468130?utm_source=Public&#038;utm_medium=Feed&#038;utm_campaign=Distribution\">Medizinische t\u00e4gliche Quelle<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>\u201eIhr gr\u00f6\u00dfter Kostenfaktor ist der staatlich gepr\u00fcfte Notarzt. Daher wollen sie diese Kosten so gering wie m\u00f6glich halten\u201c, sagte Dr. Robert McNamara, einer der Gr\u00fcnder der American Academy of Emergency Medicine.<\/p>","protected":false},"author":2,"featured_media":7591,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er.png","fifu_image_alt":"","footnotes":""},"categories":[27],"tags":[],"class_list":["post-7590","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>&#039;Blended Model&#039;: Why Seeing A Doctor Is Not A Certainty In The ER - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/de\/gemischtes-modell-warum-ein-arztbesuch-in-der-notaufnahme-keine-selbstverstandlichkeit-ist\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&#039;Blended Model&#039;: Why Seeing A Doctor Is Not A Certainty In The ER - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"\u201d Their No. 1 expense is the board-certified emergency physician. So, they are going to want to keep that expense as low as possible,&quot; Dr. Robert McNamara, a founder of the American Academy of Emergency Medicine, said.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/de\/gemischtes-modell-warum-ein-arztbesuch-in-der-notaufnahme-keine-selbstverstandlichkeit-ist\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-17T10:03:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er.png\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er.png\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"2\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\/\/urbancare.clinic\/#\/schema\/person\/f286c4d84be896d302aceda3ed7e789c\"},\"headline\":\"&#8216;Blended Model&#8217;: Why Seeing A Doctor Is Not A Certainty In The ER\",\"datePublished\":\"2023-02-17T10:03:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/\"},\"wordCount\":458,\"publisher\":{\"@id\":\"https:\/\/urbancare.clinic\/#organization\"},\"image\":{\"@id\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er.png\",\"articleSection\":[\"Medical Daily\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/\",\"url\":\"https:\/\/urbancare.clinic\/blended-model-why-seeing-a-doctor-is-not-a-certainty-in-the-er\/\",\"name\":\"'Blended Model': Why Seeing A Doctor Is Not A Certainty In The ER - 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