Patient preference in primary care provider type

Leach, Brandi; Gradison, Margaret; Morgan, Perri; Everett, Christine; Dill, Michael J.; Oliveira, Justine Strand de

doi:10.1016/j.hjdsi.2017.01.001

Cited by 38 publications

(60 citation statements)

References 12 publications

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“…This may be due to a lack of familiarity with the role of the PA. For participants who were attending the service as private patients, their expectations of being seen by a consultant rather than another clinician may have influenced their decision. According to Leach et al, those preferring doctors over, for example, nurse practitioners or PAs, were more likely to cite qualifications and trust for this group of clinicians, [20] an observation which concurs with Dyer as well. [25] Some studies found that credibility and availability are underlying enablers of trust, especially in the early chain of healthcare.…”

Section: Discussionmentioning

confidence: 78%

“…[18][19][20] Comments from participants in this Irish study concur. Trust and competence were influencing factors in the participants' decision whether or not to be seen by a PA.…”

Section: Discussionmentioning

confidence: 83%

“…[21] However, organizational trust becomes a critical factor only when interpersonal trust is already present. [22] Although the PA role was established in the UK setting, by the time it was studied by Halter et al, [21] they found, as did Leach et al, [20] and Zheng et al, [23] that patient trust was proportionately related to their judgment of the PA being competent in the clinical activities of assessing, making referrals, initiating treatments, and advising on self-management of their conditions. In addition, these judgments of competence were linked to the patient's previous experience of the PA and their confidence in the PA as a clinician.…”

Section: Discussionmentioning

confidence: 99%

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Patient willingness to be seen by a physician associate in Ireland

Joyce

Arnett

Hill

et al. 2018

IJH

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Background: The physician associate (PA) role was piloted in Dublin, Ireland between 2015 and 2017. However, the concept of a PA and the acceptance of their role in Ireland had not been explored. Objective: To investigate the willingness of Irish citizens to be seen by a PA based on medical scenarios in a typical clinical setting. Design: A mixed methods study was undertaken. A preference survey, with three medical scenarios, gave participants a choice to be treated by a PA or a doctor, with two time trade-off options offered. Responses were supported with qualitative text. Four hundred people were invited to participate as surrogate patients. Setting and participants: In 2017 a total of 270 respondents took part in the study (67.5%) in two hospitals (one private and one public) in Dublin. The mean age was 60; male (n = 142) and female (n = 128) respondents. Findings: In total, 95% of the respondents chose to see a PA over a doctor based on the scenarios presented and a wait time of 30 minutes. Wait time, trust, competency and the severity or seriousness of the medical condition were categorized into three themes for choosing the PA over the doctor. The "surrogate patient" decisions made by this sample were influenced by knowing that the PA is supervised and can check decisions with his/her supervizing physician. Conclusion: These findings are consistent with studies carried out in other countries where willingness to be seen by a PA is neither age nor gender specific. Patient preference seems to concur around the importance of trust and confidence in the medical provider.

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Section: Discussionmentioning

confidence: 78%

“…[18][19][20] Comments from participants in this Irish study concur. Trust and competence were influencing factors in the participants' decision whether or not to be seen by a PA.…”

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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Patient willingness to be seen by a physician associate in Ireland

Joyce

Arnett

Hill

et al. 2018

IJH

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“…A very few respondents communicated a refusal to see a NP in any situation. Many studies have reported on client satisfaction of NP care (Allnutt et al, ; Brown, ; Ryan & Rahman, ), patient willingness to be seen by a NP (Dill et al, ; Larkin & Hooker, ; Leach et al, ) and the client's acceptability of the NP role (Wilson & Shifaza, ). However, these studies include people already in the care of NPs.…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, there is a lack of understanding of the NP’s full scope of practice (Allnutt et al, ), which results in many individuals only seeking treatment from an NP in case of minor illness or injury (Larkin & Hooker, ; Wilson & Shifaza, ). Evaluation of consumer satisfaction of the care provided by NPs in primary and secondary health care and in urban, regional and rural areas is mainly positive (Jennings, Clifford, Fox, O’Connell, & Gardner, ; Laurant et al, ; Leach et al, ; Ryan & Rahman, ). Although developed nations are taking both regulatory and non‐regulatory approaches to role governance, they are united in the aim to promote and use the NP role to its full capabilities to reduce the burden on healthcare systems (Maier, ).…”

Section: Introductionmentioning

confidence: 99%

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

Craswell

Dwyer

2019

Journal of Advanced Nursing

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Aim To understand the public's willingness or lack thereof, to be seen and treated by a nurse practitioner (NP) as the first point of contact when accessing healthcare services. Design This cross‐sectional, population‐based survey study used computer assisted telephone interviewing to elicit public opinions on the topic. Methods Data were collected in July and August 2015 from calls randomly placed to Australian households. Survey questions were developed from previous surveys and pilot tested. Summative content analysis was used to analyse open‐ended responses. Results Most respondents were always, or in some situations, willing to receive care from a nurse practitioner. The main themes identified from those willing to be seen by a nurse practitioner in any situation were, (a) appropriately qualified nurse practitioners, (b) the knowledge and experience to refer on if necessary. Description of situations from those unwilling to be seen by a nurse practitioner related to concern about appropriate care in a life‐threatening condition. Conclusion Respondents unwilling to consider any care from a nurse practitioner or care in an emergency situation, reveal a lack of understanding of their role in the wider healthcare team. As the number of nurse practitioners increase, professional groups and community awareness programmes should be focused on explaining and promoting their essential role. Impact This study addresses the increasing healthcare requirements of ageing populations through understanding acceptance by society to the provision of care from health professionals other than medical practitioners. Most respondents were willing to be seen by a nurse practitioner for all or most of their healthcare needs. Lack of understanding of their scope of practice and role in the wider healthcare team, particularly in emergency situations, was reflected in responses. Those who would refuse care from a NP were in the minority. Appropriateness and acceptability of the roles of health professionals to provide quality care collaboration need consideration by policy makers.

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Changes in the Affective Empathy of Osteopathic Students: a Longitudinal Study

Newton,

Vaskalis

2024

Med.Sci.Educ.

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Patient preference in primary care provider type

Cited by 38 publications

References 12 publications

Patient willingness to be seen by a physician associate in Ireland

Patient willingness to be seen by a physician associate in Ireland

Reasons for choosing or refusing care from a nurse practitioner: Results from a national population‐based survey

Changes in the Affective Empathy of Osteopathic Students: a Longitudinal Study

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