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題名:新興的醫療工作角色與權限?--醫師眼中的醫師助理(Physician Assistant)角色
書刊名:醫護科技學刊
作者:陳端容
作者(外文):Chen, Duan-rung
出版日期:2001
卷期:3:1
頁次:頁84-110
主題關鍵詞:醫師助理工作權限醫師Physician assistantJob jurisdictionPhysician
原始連結:連回原系統網址new window
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  • 共同引用共同引用:13
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     本論文探討醫師對醫師助理工作角色與工作權限的認知,以及其對醫師助理制度的評估。我們以88年5月醫師公會全國聯合會登記之執業醫師名冊中,服務於地區教學醫院以上醫院內、外、婦、兒、泌尿科、神經外科、整型外科、骨科、神經科的醫師,以分層隨機抽樣方式選取受訪醫師,採郵寄問卷收集資料,共發4016份問卷,回收558份,回收率為13.9%。在本研究樣本中,有近七成的醫師(68%)支持成立醫師助理制度,亦有近6成(59.7%)的醫師曾與醫師助理共事,大部分醫師對於醫師助理的工作權限有相當的共識。「醫師助理」可以分擔醫師醫療工作中較為常規性的工作,可經由法制化的培訓,在沒有醫師親臨監督下,執行部分醫療工作,並成為專業的工作角色。與醫師助理有共事經驗的醫師或醫師知道其他醫院設置醫師助理一職對醫師助理制度有較正面看法,亦較支持醫師助理發展成一個「專業」的工作角色。任職於醫學中心等大型的醫院醫師傾向設置專業化的「醫師助理」制度,而年輕的醫師亦較為支持醫師助理制度。醫師憂慮醫療糾紛責任界定不易。醫師對醫師助理工作權限的認知與專科護理師間無法有清楚的區別,但醫師堅持醫師助理的培訓與工作權限應由醫師來主導與控管,與專科護理師的培訓有所不同。
     The purposes of this study are: 1) to understand physicians' attitude of physician assistant practices; 2) to explore factors associated with physicians' attitude. This questionnaire is self-administered and mailed to general internal medicine physicians, neurologists, general surgeons, neurosurgerists, orthopedic surgerists, urologists, gynecologists, obstetricians and pediatricians. The response rate is 13.9%. The statistical methods include descriptive analysis, bivariate analysis, and multivariate regression analysis. Important findings are as follows:1) Most of the physician surveyed have consensus on the proper medical practice that physician assistants are allowed to practices. Those practices include insert IV set, IV push, catheter tubes care, wounds care, inserting urethral catheters, preoperative and postoperative care, gathering of a data base during patient hospitalization, writing patient's records under the supervision of attending physicians, and serving as assistants in the operating room; 2) Physicians who have experiences working with physician assistants or physician who are aware of the information regarding physician practices tend to prefer to have physician assistants professionalized and legalized.
期刊論文
1.許素珍(19971000)。奇美醫院之Physician Assistant與Nursing Specialist。醫院,30(5),47-49。  延伸查詢new window
2.Bottom, W. D.(1987)。Physician Assistants: Current Status of the Profession。The Journal of Family Practice,24,639-643。  new window
3.陳敏麗(1991)。長庚紀念醫院專科護理師訓練計劃。護理雜誌,38,101-103。  延伸查詢new window
4.Geller, J. M.(1998)。Understanding the interactions between Physician assistants and their supervising physician institutional settings。Journal of Allied Health,27(4),188-195。  new window
5.Fasser, C. M.(1988)。Health Beliefs and Behaviors of Physician Assistants in Texas: Implications for Practice and Education。American Journal of Preventive Medicine,4(4),208-215。  new window
6.Cawley, J. F.(1991)。Hospital Physician Assistants: Past, Present and Future。Hospital Topics,69(3),14-19。  new window
7.Cawley, J. F.(1983)。The future for Physician assistants。American college of physicians,98,993-997。  new window
8.Brooks, E. F.(1986)。Nurse practitioner and physician assistant satellite Health centers。Medical Care,24(10),881-890。  new window
9.McMillen, M. A.(1999)。The value of physician assistants to surgical education in teaching hospitals。Archives of Surgery,134(4),445-7。  new window
10.Jones, E.、Cawley, J. F.(1994)。Physician assistants and health system reform. Clinical capabilities, practice activities, and potential roles。Journal of American Medical Association,271(16),1266-1272。  new window
11.Knickman(1992)。The Potential for using non-physicians to compensate for the reduced availability of residents。Academic Medicine,67(7),429-438。  new window
12.Heinrich, J.(1980)。The Physician's Assistant as Resident on Surgical Service。Archives of Surgery,115(3),310-314。  new window
13.Green, B. A.、Johnson, Tim(1995)。Replacing residents with midlevel practitioners: A New York city-area analysis。Health Affairs,1995(Summer),192-198。  new window
14.Perry, H. B.、Detmer, D. E.、Redmond, E. L.(1981)。The current and future role of surgical physician assistants. Report of a national survey of surgical chairmen in large U.S. hospitals。Annals of Surgery,193(2),132-137。  new window
15.Rudy, E. B.(1998)。Care activities and outcomes of patients cared for by acute care nurse practitioners, physician assistants, and resident physicians: a comparison。American Journal of Critical Care,7(4),267-281。  new window
16.Russell, J. C.(1999)。One hospital's successful 20-year experience with physician assistants in graduate medical education。Academic Medicine,74(6),641-645。  new window
17.Todd, M. C.(1992)。The physician's assistant in perspective。Journal of the American Academy of Physician Assistant,5,206-208。  new window
18.Wills, J.、Pylitt, L.(1993)。Physician Assistants and Hospital Practice。Journal of the American Academy of Physician Assistants,6(2),115-122。  new window
19.戴玉慈、陳月枝(19980300)。進階護理人員的角色定位與功能。醫學教育,2(1),10-17。new window  延伸查詢new window
20.田聖芳(19901200)。臨床專科護理師角色與功能。護理雜誌,37(4),91-95。new window  延伸查詢new window
學位論文
1.蕭慧雯(1998)。醫師助理工作內容調查與相關探討(碩士論文)。中國醫藥學院。  延伸查詢new window
2.陳盈盈(1994)。醫療人員對專科護理師制度認知及角色功能評估之研究(碩士論文)。中國醫藥學院。  延伸查詢new window
單篇論文
1.中華民國醫院協會(1998)。如何建立臨床專科助理制度,解決醫療人力配置問題。  延伸查詢new window
其他
1.行政院衛生署(1998)。研商臨床助理制度第二次會議記錄。  延伸查詢new window
2.行政院衛生署(1998)。臨床助理制度會議記錄。  延伸查詢new window
3.中華民國醫事法學會(1999)。臨床助理的需求性、合法性職務的範圍。  延伸查詢new window
4.衛生署全民健保小組(2000)。全民健康保險體檢之品質與支付期中報告。  延伸查詢new window
 
 
 
 
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