{"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":"modello-misto-perche-vedere-un-medico-non-e-una-certezza-al-pronto-soccorso","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/it\/modello-misto-perche-vedere-un-medico-non-e-una-certezza-al-pronto-soccorso\/","title":{"rendered":""Modello misto": perch\u00e9 vedere un medico non \u00e8 una certezza al pronto soccorso"},"content":{"rendered":"
<\/div>\n

Hai mai visitato il pronto soccorso in un ospedale? \u00c8 probabile che potresti non aver incontrato un medico e aver invece controllato da un'infermiera. Il motivo per cui non vi \u00e8 alcuna garanzia che si vedr\u00e0 un medico durante la visita al pronto soccorso \u00e8 il poco conosciuto "modello misto".<\/p>\n

Molti ospedali affidano i loro pronto soccorso a societ\u00e0 di personale medico come American Physician Partners (APP). APP, una societ\u00e0 di propriet\u00e0 di investitori di private equity, impiega meno medici nei suoi pronto soccorso come un modo per risparmiare sui costi e aumentare le entrate, secondo un documento aziendale riservato<\/a>.<\/p>\n

I medici vengono ora messi da parte dagli infermieri e dagli assistenti medici, noti collettivamente come \u201cprofessionisti di medio livello\u201d. Questi professionisti sono in grado di svolgere molti compiti e generare quasi le stesse entrate, ma ricevono meno della met\u00e0 della paga di un medico.<\/p>\n

"\u00c8 un'equazione relativamente semplice", ha affermato il dottor Robert McNamara, fondatore dell'American Academy of Emergency Medicine e presidente della medicina d'urgenza presso la Temple University, secondo Cnn<\/a>. \u201dLa loro spesa numero 1 \u00e8 il medico d'urgenza certificato dal consiglio. Quindi, vorranno mantenere tale spesa il pi\u00f9 bassa possibile.<\/p>\n

<\/div>\n

Definendolo un \u201cmodello misto\u201d, APP ha affermato che \u00e8 un modo per garantire che tutti i pronto soccorso mantengano il personale completo. In questo modo, medici, infermieri e assistenti medici possono \u201cfornire assistenza al massimo delle loro potenzialit\u00e0\u201d, si legge inoltre.<\/p>\n

Oltre all\u2019ovvio timore che una persona possa non ricevere cure adeguate, i critici ipotizzano che il modello aumenti la probabilit\u00e0 di diagnosi errate e di spese mediche pi\u00f9 elevate. <\/p>\n

In uno studio, pubblicato<\/a> nel mese di ottobre dal National Bureau of Economic Research, sono state analizzate circa 1,1 milioni di visite a 44 pronto soccorso in tutta la Veterans Health Administration. Qui, gli infermieri possono curare i pazienti senza la supervisione dei medici.<\/p>\n

Lo studio ha rilevato che il trattamento da parte di un infermiere professionista ha portato ad un aumento di 7% del costo dell\u2019assistenza e di 11% della durata della degenza. <\/p>\n

"Non \u00e8 solo una semplice questione se possiamo sostituire i medici con infermieri professionisti oppure no", ha detto Yiqun Chen, coautore e assistente professore di economia presso l'Universit\u00e0 dell'Illinois-Chicago. \u201cDipende da come li usiamo. Se li usiamo semplicemente come fornitori indipendenti, soprattutto... per pazienti relativamente complicati, non sembra essere un utilizzo molto valido."<\/p>\n

A causa della mancanza di prove certe sull\u2019impatto negativo della sostituzione medici<\/a> con i non medici, \u00e8 probabile che il modello misto continui, ha detto il dottor Cameron Gettel, assistente professore di medicina d'urgenza a Yale.<\/p>\n

"I risultati peggiori sui pazienti non sono stati realmente mostrati su tutta la linea", ha detto. \u201cE penso che fino a quando ci\u00f2 non verr\u00e0 dimostrato, continueranno a svolgere un ruolo crescente\u201d.<\/p>\n

Fonte quotidiana medica<\/a><\/p>\n

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"La loro spesa numero 1 \u00e8 il medico di pronto soccorso certificato. Quindi, vorranno mantenere quella spesa il pi\u00f9 bassa possibile", ha affermato il dott. 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