The Public??s View of Physicians?? Assistants and Nurse Practitioners

Storms, Doris M.; Fox, John G.

doi:10.1097/00005650-197905000-00006

Cited by 14 publications

(11 citation statements)

References 29 publications

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“…As with NPs, PA studies (Lin et al 2002) reveal retrospective patient acceptance to be high, particularly among unmarried middle-class respondents who had some exposure to college (Storms and Fox 1979;Smith 1981;Oliver et al 1986). However, PA acceptance diminishes as the perceived complexity of procedures increases; for example, only 34% approve PA use in the case of first examination of a patient with a head injury (Strunk 1973).…”

Section: Discussionmentioning

confidence: 99%

“…While we did not control for provider familiarity or prior provider exposure, our use of both medically sophisticated and medically naive subjects helped control for this potential confound. Understanding how PA, NP, and resident providers compare to board-certified/-eligible physicians in patient-centered outcomes is the next step to assessing the wisdom, quality, and economic value of provider substitution (Storms and Fox 1979).…”

Section: Limitationsmentioning

confidence: 99%

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Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis?

Larkin

Hooker

2010

The American Journal of Bioethics

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Physician assistants (PAs), nurse practitioners (NPs), and medical residents constitute an increasingly significant part of the American health care workforce, yet patient assent to be seen by nonphysicians is only presumed and seldom sought. In order to assess the willingness of patients to receive medical care provided by nonphysicians, we administered provider preference surveys to a random sample of patients attending three emergency departments (EDs). Concurrently, a survey was sent to a random selection of ED residents and PAs. All respondents were to assume the role of patient when presented with hypothetical clinical scenarios and standardized provider definitions. Despite presumptions to the contrary, ED patients are generally unwilling to be seen by PAs, NPs, and residents. While seldom asked in practice, 79.5% of patients fully expect to see a physician regardless of acuity or potential for cost savings by seeing another provider. Patients are more willing to see residents than nonphysicians.

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Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis?

Larkin

Hooker

2010

The American Journal of Bioethics

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“…Of people over 65 72.4% rated the care they received in the past year as the best possible, compared with 53.3% of those under 65 (and 32.0% of those [18][19][20][21][22][23][24]. Age correlates more highly with satisfaction with care than any other variable in our study.…”

Section: *The Questionnaire Descriptions Read As Followsmentioning

confidence: 64%

New health professionals and older persons

Fox¹,

Storms²

1980

J Community Health

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Because the number of aged persons in the population is increasing and localized maldistributions of health care manpower persist, it has been suggested that new health professionals might provide health services for older persons who would otherwise face problems in obtaining health care. In this study, the authors tested the degree to which older persons know about and are accepting of care by new health professionals. They found that older persons know less about and accept less NHP care than do younger persons, although they are still mostly accepting of such care. In addition, older persons are more satisfied with their current care providers. Taken together, these findings indicate that older persons do not currently provide a source of expressed demand for NHP services.

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“…Five studies in the 1970s and early 1980s addressed some aspects of community acceptance of NPs (Brands, 1983;Pender & Pender, 1980;Shamansky et al, 1985;Storms & Fox, 1979;Zikmund & Miller, 1979). Only the Zikmund and Miller study limited the sample to members of rural communities.…”

Section: Review Of Literaturementioning

confidence: 99%

Acceptance of Nurse Practitioners and Physician Assistants in Meeting the Perceived Needs of Rural Communities

Baldwin

Sisk²,

Watts

et al. 1998

Public Health Nursing

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Nurse practitioners and physician assistants have provided a partial solution to the shortage of primary care services in medically underserved rural areas. This paper describes the results of a study exploring community acceptance of nurse practitioners and physician assistants in rural medically underserved areas. Community acceptance in the context of this study implies not only satisfaction with care received, but also willingness of the community to support NP/PA practice through its infrastructure and encourage members to initially seek and continue to receive care from an NP or PA. Five focus groups were conducted in each of five rural medically underserved communities. The two most pervasive findings were the lack of previous exposure to NPs and PAs and the general belief that NPs and PAs would be accepted in these communities if certain conditions could be met. The theme of conditional acceptance included both personal and system factors. Personal factors included friendliness, competence, willingness to enter into the life of the community, and the ability to keep information confidential. System factors considered critical for acceptance included service type, integration with the existing health care system, cost, geographic proximity, and availability. The results of this study offer insight into community attitudes and suggest marketing strategies for those who plan to introduce NP or PA services into rural communities.

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The Public??s View of Physicians?? Assistants and Nurse Practitioners

Cited by 14 publications

References 29 publications

Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis?

Patient Willingness to Be Seen by Physician Assistants, Nurse Practitioners, and Residents in the Emergency Department: Does the Presumption of Assent Have an Empirical Basis?

New health professionals and older persons

Acceptance of Nurse Practitioners and Physician Assistants in Meeting the Perceived Needs of Rural Communities

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