Physician associates and anaesthetic associates in UK: rapid systematic review of recent UK based research.

Methods

Rapid systematic review.

快速系统综述。

search_strategy

Keyword and author search of three databases; citation tracking; search of previous systematic reviews.

在三个数据库中进行关键词和作者搜索；引用追踪；搜索先前的系统评价。

eligible_studies

Empirical research (any design) on physician associates/anaesthetic associates in UK healthcare published between 2015 and January 2025.

2015年至2025年1月期间发表的关于英国医疗保健中医生助理/麻醉助理的经验研究（任何设计）。

main_outcomes

Any measure of clinical efficacy or safety.

任何临床疗效或安全性的衡量指标。

Methods

Eligible papers were grouped into categories and appraised using Critical Appraisal Skills Programme checklists.

合格的论文被分为不同的类别，并使用批判性评价技能计划检查表进行评估。

Two reviewers independently extracted data on study designs, samples, methods, and findings.

两位评审员独立提取了研究设计、样本、方法和结果的数据。

Each paper was scored for trustworthiness, generalisability, and relevance; differences were resolved by discussion.

每篇论文都根据可信度、普遍性和相关性进行了评分；差异通过讨论解决。

Studies meeting a minimum inclusion standard were described and critiqued.

符合最低纳入标准的研究被描述并进行了批判性评价。

Results

Of approximately 5000 titles, 52 papers were eligible (48 on physician associates, four on anaesthetic associates), of which 29 met the inclusion standard.

在大约5000个标题中，有52篇论文符合纳入标准（48篇关于医师助理，四篇关于麻醉助理），其中29篇符合纳入标准。

The total number of physician associates studied was very small, especially in primary care; no studies reported direct assessment of anaesthetic associates.

研究的医师助理总数非常少，特别是在初级保健中；没有研究报道了对麻醉医师助理的直接评估。

Only one study, of four physician associates, involved any assessment by a doctor of their clinical competence by direct observation.

只有一项研究涉及了四名医师助理，由医生通过直接观察对其临床能力进行了评估。

No studies examined safety incidents.

没有研究检查过安全事件。

Some studies suggested that physician associates could support the work of ward based teams and work in emergency departments when appropriately deployed and supervised in low risk clinical settings, but the number of individuals and settings studied was small, and those findings should be considered preliminary.

一些研究表明，在适当部署和监督的情况下，医师助理可以在低风险的临床环境中支持病房团队的工作，并在急诊部门工作，但研究的个体和环境数量较少，这些发现应被视为初步的。

Physician associates seemed to struggle in primary care, however, because the role was more autonomous, the case mix was more diverse, decisions were more uncertain, institutional support was more limited, and supervision arrangements were more challenging.

在初级保健中，医师助理似乎面临挑战，因为这个角色更具自主性，病例组合更多样化，决策更具不确定性，机构支持更有限，监督安排更具挑战性。

Staff expressed concern about physician associates' and anaesthetic associates' competence to manage undifferentiated, clinically complex, or high dependency patients; order ionising radiation; or prescribe.

员工对医师助理和麻醉助理管理未分化的、临床复杂的或高依赖性患者的能力表示担忧；开具电离辐射；或开处方。

Physician associates reported a range of experiences and desired a clear role within the team.

医师助理报告了各种经验，并希望在团队中有一个明确的角色。

No evidence was found that physician associates add value in primary care or that anaesthetic associates add value in anaesthetics; some evidence suggested that they do not.

没有发现医师助理在初级保健中增加价值的证据，也没有发现麻醉助理在麻醉中增加价值的证据；一些证据表明他们并没有增加价值。

Conclusions

The UK literature on physician associates and anaesthetic associates is sparse and of variable quality, and some is outdated.

关于医师助理和麻醉助理的英国文献稀缺且质量参差不齐，部分文献已经过时。

In this context, the absence of evidence of safety incidents should not be misinterpreted as evidence that deployment of physician associates and anaesthetic associates is safe.

在这种情况下，缺乏安全事故证据不应被误解为医师助理和麻醉助理部署是安全的证据。

Findings of apparent non-inferiority in non-randomised studies may obscure important unmeasured differences in quality of care.

在非随机研究中观察到的明显非劣效性可能会掩盖护理质量中重要的未测量差异。

New research is urgently needed to explore staff concerns, examine safety incidents, and inform a national scope of practice for these relatively new and contested staff roles.

迫切需要新的研究来探索员工的关切，检查安全事件，并为这些相对较新且有争议的员工角色提供全国范围内的实践范围。

The findings from this UK based study should be interpreted in the context of the wider international evidence base.

这项基于英国的研究结果应在更广泛的国际证据基础上进行解读。

study_registration

INPLASY202520039.

INPLASY202520039。