Physician Assistants in Primary Care: Trends and Characteristics

Coplan, Bettie; Cawley, James F.; Stoehr, James D.

doi:10.1370/afm.1432

Cited by 30 publications

(15 citation statements)

References 13 publications

(14 reference statements)

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“…11,14 PA practice patterns refl ect physician practice, with more women practicing in primary care specialties. 15 Unfortunately, analysis of the different characteristics of female and male PAs is lacking due to a limited number of robust data sets, an issue that should promptly be addressed on a national level.…”

Section: Women Leadership and The Culture Of Medicinementioning

confidence: 99%

Ethics, equity, and economics

Essary

Coplan

2014

Journal of the American Academy of Physician Assistants

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Women account for more than 70% of physician assistant (PA) students, 62% of practicing PAs, and 57% of faculty in PA programs. About half of all US medical students, 30% of actively practicing physicians, and 37% of faculty at academic medical centers are female. However, women in medicine are paid less than men for equal work effort and achieve fewer leadership positions within academia and medicine. Neglecting the skills and talents of women may lead to a workforce that fails to represent our patient and student populations.

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Section: Women Leadership and The Culture Of Medicinementioning

confidence: 99%

Ethics, equity, and economics

Essary

Coplan

2014

Journal of the American Academy of Physician Assistants

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“…Multiple studies have compared the scope of patient care services provided by physician assistants and physicians in primary care settings and have concluded that physician assistants can perform 85% to 90% of services traditionally provided by primary care physicians (Hooker & Everett, 2012). Physician assistants practicing in primary care are more likely to be female, older, and Hispanic (Coplan, et al, 2013). ◆ In 2010 and 2011, the rate of nurse practitioners was significantly higher for Whites than for other racial groups (Figure 9.6).…”

Section: Health System Infrastructurementioning

confidence: 99%

National Healthcare Disparities Report, 2012

2013

PsycEXTRA Dataset

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“…1 Perhaps more important is the duration in time. But how willing are Americans to accept that change?…”

Section: Patients Like Physician Assistants and Nurse Practitioners Amentioning

confidence: 99%

Commentaries on health services research

Hooker¹,

Cawley²,

Coombs³

2013

Journal of the American Academy of Physician Assistants

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This systematic review aimed to appraise the evidence of PAs' contribution to primary care; 2,167 publications were identifi ed, of which 49 met the inclusion criteria (46 were American). Half of PAs work in primary care in the US with good support and physicians willing to employ PAs. The majority of PAs' workload is managing patients with acute presentations. PAs tend to see younger patients and a different caseload than physicians do and require supervision. Studies of costs provide mixed results. Outcomes of the review identifi ed that acceptability to patients and potential patients is consistently high, and studies of appropriateness report positively. Overall, the evidence was appraised as of weak to moderate quality, with little comparative data presented and little change in research questions over time. The research evidence of the contribution of PAs to primary care was mixed and limited. However, the continued growth in PAs' employment in American primary care suggests that PAs are considered valuable. Further specifi c studies are needed about the effectiveness of PAs' contributions to the international primary care workforce.Halter M, Drennan V, Chattopadhyay K, et al. The contribution of physician assistants in primary care: a systematic review. ABSTRACTImpending physician shortages in the United States will necessitate greater reliance on PAs and NPs. But how willing are Americans to accept that change? This study examined provider preferences from the patient's perspective. Using data from the AAMC Consumer Survey, the authors found about half of the respondents preferred to have a physician as their primary care provider. However, when presented with scenarios in which they could see a PA or an NP sooner than a physician, most elected to see the PA or NP instead of waiting. Although the fi ndings provide evidence that consumers are open to the idea of receiving care from a PA or an NP, barriers such as scope-of-practice regulations still limit their widespread use. Policy makers should incorporate such evidence into solutions for the physician shortage.

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Physician Assistants in Primary Care: Trends and Characteristics

Cited by 30 publications

References 13 publications

Ethics, equity, and economics

Ethics, equity, and economics

National Healthcare Disparities Report, 2012

Commentaries on health services research

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