Journal article
A systematic review of PAs in nonprimary care
JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, Vol.32(5)
05/01/2019
DOI: 10.1097/01.JAA.0000554752.69923.20
Abstract
The authors appraised the research on PAs in secondary care by the effect on patients' experiences and outcomes, service organization, working practices, other professional groups, and costs. In emergency medicine, trauma, and orthopedics, when PAs are added to teams, researchers found equivalent readmission rates, and good acceptability to staff and patients. Analgesia prescribing, operative complications, and mortality were variable. Internal medicine outcomes of care provided by PAs and physicians were equivalent. PAs have been deployed to increase the capacity of a team, enabling shorter waiting times and gains in throughput, continuity, and medical cover. When PAs were compared with medical staff, little or no negative effect was found on health outcomes or cost. The difficulty of attributing cause and effect in complex systems where work is organized in teams is highlighted. Further rigorous evaluation is needed to address the complexity of the PA role, reporting on more than one setting, and including comparison between PAs and roles for which they are substituting.(1)
Details
- Title: Subtitle
- A systematic review of PAs in nonprimary care
- Creators
- Ian W. Jones - University of ManitobaGomathi SundarTheresa Hegmann - Univ Iowa, Curriculum & Evaluat, PA Program, Iowa City, IA USABenjamin J. Smith - Florida State Univ, Didact Educ, PA Program, Tallahassee, FL 32306 USA
- Resource Type
- Journal article
- Publication Details
- JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS, Vol.32(5)
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/01.JAA.0000554752.69923.20
- ISSN
- 1547-1896
- eISSN
- 0893-7400
- Number of pages
- 2
- Language
- English
- Date published
- 05/01/2019
- Academic Unit
- Physician Assistant Studies
- Record Identifier
- 9984295048402771
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