ʻOihana ʻoihana kauka (PA)

MOOLELO O KA OIHANA

Ua hoʻokumu ʻia ka papahana hoʻomaʻamaʻa kauka mua (PA) ma 1965 ma ke Kulanui ʻo Duke e Dr. Eugene Stead.

Pono nā papahana i nā mea noi e loaʻa ka kekelē laepua. Pono nā mea noi i kahi ʻike i ka hoʻonohonoho olakino, e like me ka loea ʻoihana olakino, kahu kahu kaʻa, mea aʻo olakino, kahu hānai laikini laikini, a kahu maʻi degere paha. Loaʻa ke kekelē laepua o ka haumāna PA maʻamau i kekahi kahua a ma kahi o 4 mau makahiki o ka ʻike pili olakino. Pili pinepine nā papahana aʻo no nā PA me nā koleke o ka lāʻau. Hoʻololi lākou mai 25 a 27 mau mahina i ka lōʻihi. Hāʻawi nā papahana i kahi kekelē laeoʻo ma hope o ka pau ʻana.

ʻO nā haumāna PA mua ka hapanui he medics pūʻali koa. Ua hiki iā lākou ke hoʻonui i ka ʻike a me ka ʻike i loaʻa iā lākou i ka pūʻali koa e neʻe ai i kahi kuleana i ka mālama mua. Ua ʻae ke kauka kōkua kōkua iā PA e hana i nā hana i hana mua ʻia e nā kauka. Hoʻopili kēia i ka lawe ʻana i ka mōʻaukala, ka hoʻokolohua kino, ka ʻike, a me ka hoʻokele hoʻomanawanui

Ua hoʻomaopopo nā noiʻi he nui i ka hiki i nā PA ke hāʻawi i ka mālama olakino kiʻekiʻe, e like me ke kauka, no kahi o 80% o nā kūlana i ʻike ʻia i nā hoʻonohonoho mālama mua.

SCOPE O KA HANA

Hoʻomākaukau ke kauka kōkua, ma ka ʻepekema a me ke kauka, e hoʻolako i nā lawelawe olakino ma lalo o ke alakaʻi a me ka nānā ʻana a ke kauka o ka lāʻau lapaʻau (MD) a i ʻole ke kauka o ka lāʻau osteopathic (DO). ʻO nā hana PA me ka hana diagnostic, therapeutic, preventive, a me nā lawelawe mālama olakino.

ʻO nā PA ma nā mokuʻāina holoʻokoʻa he 50, Wakinekona, D.C., a me Guam he mau kuleana hoʻomaʻamaʻa preccriptive. ʻAʻole hiki i kekahi mau kauka lapaʻau ke loaʻa pololei ka uku o ka ʻaoʻao ʻekolu (ʻinikua) no kā lākou lawelawe, akā uku ʻia kā lākou lawelawe ma o kā lākou kauka nānā a luna hana paha.

NOHO HOOPONOPONO

Hoʻomaʻamaʻa ʻo PA i nā ʻano kau like ʻole ma kahi o nā wahi loea a me ka ʻoki kino. Hoʻomaʻamaʻa he nui ma waena o nā wahi mālama mua, e like me ka hoʻomaʻamaʻa ʻohana. ʻO nā wahi hana maʻamau ʻē aʻe ke kīpoki laulā, nā mea ʻoki kūikawā, a me nā lāʻau lapaʻau pōpilikia. Pili ke koena i ke aʻo ʻana, ka noiʻi ʻana, ka hoʻomalu ʻana, a i ʻole nā ​​kuleana nonclinical ʻē aʻe.

Hiki paha i nā PA ke hoʻomaʻamaʻa i kēlā me kēia kau a kahi kauka e mālama ai. ʻAe kēia i nā kauka e kau i ko lākou mākau a me ka ʻike ma kahi ʻano ʻoi aku ka maikaʻi. Hoʻomaʻamaʻa ʻo PA ma nā kauhale kaiāulu a kūloko hoʻi. ʻO ka hiki a me ka makemake o nā PA e hoʻomaʻamaʻa i nā wahi kaiāulu i hoʻomaikaʻi i ka hāʻawi ʻana o nā lawelawe mālama ola ma waena o ka lehulehu.

KANAWAI HANA

E like me nā ʻoihana ʻē aʻe, hoʻoponopono ʻia nā mea kōkua kauka i ʻelua mau pae ʻokoʻa. Ua laikini ʻia lākou ma ka pae mokuʻāina e like me nā kānāwai mokuʻāina kikoʻī. Hoʻokumu ʻia ka hōʻoia ma o kahi hui lāhui. Kūlike nā mea e koi ai no nā kūlana hana liʻiliʻi ma nā mokuʻāina āpau.

Laikini: ʻO nā kānāwai i pili i ka laikini PA hiki ke loli iki i waena o nā mokuʻāina. Eia nō naʻe, kokoke i nā mokuʻāina āpau e koi i ka palapala hōʻoia lāhui ma mua o ka laikini.

Pono nā kānāwai mokuʻāina āpau i nā PA e loaʻa i kahi kauka e kiaʻi ana. ʻAʻole pono kēia kauka ma kahi kahua ma ka wahi like me ka PA. ʻAe ka hapanui o nā mokuʻāina i ka nānā ʻana a ke kauka e ke kamaʻilio kelepona ʻana me nā kipa pūnaewele manawa. ʻO ka mālama ʻana i nā kauka a me nā PA he hana maʻamau a hoʻolālā hoʻomalu hoʻi, a i kekahi manawa waiho ʻia kēia hoʻolālā me nā keʻena mokuʻāina.

Palapala hoʻomaikaʻi: I nā wā mua o ka ʻoihana, hui pū ka AAPA (ʻAhahui ʻAmelika o nā Kauka Lapaʻau) me ka AMA (American Medical Association) a me ka National Board of Medical Examiners e hoʻomohala i kahi hoʻokolokolo kūpono lāhui.

I ka makahiki 1975, ua hoʻokumu ʻia kahi hui kūʻokoʻa, ka National Commission on Certification of Physicians assistants, e lawelawe i kahi papahana hōʻoia. Aia kēia papahana i kahi hoʻokolohua pae komo, hoʻomau i ka lāʻau lapaʻau, a me ka hoʻokolokolo hou ʻana no ka recertification. ʻO nā mea kōkua kauka wale nō i puka puka o nā papahana i ʻae ʻia a ua hoʻopau a mālama ʻia i kēlā palapala hōʻoia hiki ke hoʻohana i nā palapala hōʻoia PA-C (hōʻoia).

No ka ʻike hou aku, e kipa aku i ka ʻAmelika Hui Pū ʻIa o nā Kauka Lapaʻau - www.aapa.org a i ʻole ka National Commission of Certification of Physician assistants - www.nccpa.net.

• Nā ʻano o nā lawelawe mālama ola

Ballweg R. Mōʻaukala o ka ʻoihana a me nā kū i kēia manawa. I: Ballweg R, Brown D, Vetrosky DT, Ritsema TS, eds. Kōkua Kauka: Kahi Alakaʻi i ka hoʻomaʻamaʻa lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 2.

Goldgar C, Crouse D, Morton-Rias D. Ke hōʻoia nei i ka maikaʻi no nā mea kōkua kauka: accreditation, palapala hoʻomaikaʻi, laikini, a me nā kuleana. I: Ballweg R, Brown D, Vetrosky DT, Ritsema TS, eds. Kōkua Kauka: Kahi Alakaʻi i ka hoʻomaʻamaʻa lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 6.