scholarly journals Commentary: New Findings Substantiate the Successful Use of Nurse Practitioners and Physician Assistants in Collaborative Practice Models

2011 ◽  
Vol 7 (5) ◽  
pp. 285-286 ◽  
Author(s):  
Carlton G. Brown
Keyword(s):  
Nurse Practitioners ◽  
Physician Assistants ◽  
Collaborative Practice ◽  
New Findings ◽  
Practice Models

scholarly journals Collaborative practice trends in US physician office visits: an analysis of the National Ambulatory Medical Care Survey (NAMCS), 2007–2016

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e035414
Author(s):  
Shahpar Najmabadi ◽  
Trenton J Honda ◽  
Roderick S Hooker
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Nurse Practitioners ◽  
Healthcare Delivery ◽  
Physician Assistants ◽  
Collaborative Practice ◽  
Office Visits ◽  
Physician Office ◽  
Care Survey ◽  
Ambulatory Medical Care

ObjectivePractice arrangements in physician offices were characterised by examining the share of visits that involved physician assistants (PAs) and nurse practitioners (NPs). The hypothesis was that collaborative practice (ie, care delivered by a dyad of physician-PA and/or physician-NP) was increasing.DesignTemporal ecological study.SettingNon-federal physician offices.ParticipantsPatient visits to a physician, PA or NP, spanning years 2007–2016.MethodsA stratified random sample of visits to office-based physicians was pooled through the National Ambulatory Medical Care Survey public use linkage file. Among 317 674 visits to physicians, PAs or NPs, solo and collaborative practices were described and compared over two timespans of 2007–2011 and 2012–2016. Weighted patient visits were aggregated in bivariate analyses to achieve nationally representative estimates. Survey statistics assessed patient demographic characteristics, reason for visit and visit specialty by provider type.ResultsWithin years 2007–2011 and 2012–2016, there were 4.4 billion and 4.1 billion physician office visits (POVs), respectively. Comparing the two timespans, the rate of POVs with a solo PA (0.43% vs 0.21%) or NP (0.31% vs 0.17%) decreased. Rate of POVs with a collaborative physician-PA increased non-significantly. Rate of POVs with a collaborative physician-NP (0.49% vs 0.97%, p<0.01) increased. Overall, collaborative practice, in particular physician-NP, has increased in recent years (p<0.01), while visits handled by a solo PA or NP decreased (p<0.01). In models adjusted for patient age and chronic conditions, the odds of collaborative practice in years 2012–2016 compared with years 2007–2011 was 35% higher (95% CI 1.01 to 1.79). Furthermore, in 2012–2016, NPs provided more independent primary care, and PAs provided more independent care in a non-primary care medical specialty. Preventive visits declined among all providers.ConclusionsIn non-federal physician offices, collaborative care with a physician-PA or physician-NP appears to be a growing part of office-based healthcare delivery.

scholarly journals Provider Practice Models in Ambulatory Oncology Practice: Analysis of Productivity, Revenue, and Provider and Patient Satisfaction

2009 ◽  
Vol 5 (4) ◽  
pp. 188-192 ◽  
Author(s):  
Lori A. Buswell ◽  
Patricia Reid Ponte ◽  
Lawrence N. Shulman
Keyword(s):  
Patient Satisfaction ◽  
Nurse Practitioners ◽  
Cancer Care ◽  
Physician Assistants ◽  
Practice Analysis ◽  
Practice Models ◽  
Ambulatory Oncology ◽  
Provider Practice ◽  
Oncology Practice

Physicians, nurse practitioners, and physician assistants often work in teams to deliver cancer care in ambulatory oncology practices. This is likely to become more prevalent as the demand for oncology services rises, and the number of providers increases only slightly.

scholarly journals Barriers to identifying and obtaining CME: a national survey of physicians, nurse practitioners and physician assistants

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maureen O’Brien Pott ◽  
Anissa S. Blanshan ◽  
Kelly M. Huneke ◽  
Barbara L. Baasch Thomas ◽  
David A. Cook
Keyword(s):  
Travel Time ◽  
Nurse Practitioners ◽  
Professional Associations ◽  
Physician Assistants ◽  
Age Group ◽  
Sources Of Information ◽  
Online Search ◽  
The Past ◽  
Online Tools ◽  
Source Of Information

Abstract Background CPD educators and CME providers would benefit from further insight regarding barriers and supports in obtaining CME, including sources of information about CME. To address this gap, we sought to explore challenges that clinicians encounter as they seek CME, and time and monetary support allotted for CME. Methods In August 2018, we surveyed licensed US clinicians (physicians, nurse practitioners, and physician assistants), sampling 100 respondents each of family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants (1895 invited, 500 [26.3%] responded). The Internet-based questionnaire addressed barriers to obtaining CME, sources of CME information, and time and monetary support for CME. Results The most often-selected barriers were expense (338/500 [68%]) and travel time (N = 286 [57%]). The source of information about CME activities most commonly selected was online search (N = 348 [70%]). Direct email, professional associations, direct mail, and journals were also each selected by > 50% of respondents. Most respondents reported receiving 1–6 days (N = 301 [60%]) and $1000–$5000 (n = 263 [53%]) per year to use in CME activities. Most (> 70%) also reported no change in time or monetary support over the past 24 months. We found few significant differences in responses across clinician type or age group. In open-ended responses, respondents suggested eight ways to enhance CME: optimize location, reduce cost, publicize effectively, offer more courses and content, allow flexibility, ensure accessibility, make content clinically relevant, and encourage application. Conclusions Clinicians report that expense and travel time are the biggest barriers to CME. Time and money support is limited, and not increasing. Online search and email are the most frequently-used sources of information about CME. Those who organize and market CME should explore options that reduce barriers of time and money, and creatively use online tools to publicize new offerings.

Comparison of nurse practitioners/physician assistants to gastroenterologists in performing flexible sigmoidoscopy

1998 ◽  
Vol 114 ◽  
pp. A698-A699 ◽  
Author(s):  
MB Wallace ◽  
KY Ho ◽  
Y Trnka ◽  
C Henderson ◽  
JA Kemp ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Flexible Sigmoidoscopy ◽  
Physician Assistants

The Use of Nurse Practitioners and Physician Assistants in Washington and Oregon Emergency Departments

2010 ◽  
Vol 32 (4) ◽  
pp. 338-345 ◽  
Author(s):  
Patricia D. Abbott ◽  
Karen G. Schepp ◽  
Brenda K. Zierler ◽  
Deborah Ward
Keyword(s):  
Nurse Practitioners ◽  
Emergency Departments ◽  
Physician Assistants

Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians

2005 ◽  
Vol 143 (10) ◽  
pp. 729 ◽  
Author(s):  
Ira B. Wilson ◽  
Bruce E. Landon ◽  
Lisa R. Hirschhorn ◽  
Keith McInnes ◽  
Lin Ding ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Physician Assistants ◽  
Hiv Care
Sign in / Sign up

Export Citation Format

Share Document