Physician Assistants in Primary Care Patient Assignment and Task Delegation

This paper reports a concurrent self-report study of 2,456 office encounters with physicians and/or physician assistants (PAs) in 16 primary care, private practices in Florida. Initial patient assignment to either a physician or PA varies according to demographic and visit-specific characteristics. Patients who are male, younger than 65 years, new patients, seeking help for acute problems, and those who are "walk-in" or "work-in" patients are more likely to be assigned to a PA. Among frequently performed procedures, physicians are more likely to perform the partial histories, partial physicals, and pelvic examinations, as well as counsel patients on diet and psychosocial problems. PAs are more likely to perform the complete physical examinations, record vital signs, conduct diagnostic tests, and perform therapeutic procedures (administer injections, change dressings, etc.). Most tasks performed by PAs receive supervision through chart review rather than direct oversight. The typical patient visit in a practice employing a PA involves the receipt of services from only one provider. Approximately 50% of patient services are performed by physicians only, while 35% of the services are performed solely by PAs, and 15% are performed by both. Most patients have received care from both the physician and the PA

Delegation · Family medicine · Health care · MEDLINE · Nurse practitioners · Physician assistants · Primary care · Primary care physician · Psychosocial · Receipt · Medicine · Nursing Roles and Practices · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

• Delegation of expanded functions to dental assistants and hygienists

  Michael K Chapko, Paul Milgrom et al.•American Journal of Public Health•1985

  Incluir item

• Patient Satisfaction With Primary Care

  Douglas W Roblin, Edmund R Becker et al.•Medical Care•2004

  Incluir item

• The Physician's Assistant

  Michael J Yedidia, Michael Yedidia et al.•Contemporary Sociology A Journal…•1977

  Incluir item

• Task delegation to physician extenders--some comparisons

  J K Glenn, Joanne Goldman•American Journal of Public Health•1976

  Incluir item

• Public perceptions of the physicians' assistant--a survey of the attitudes and opinions of rural Iowa and Minnesota residents

  Theodor J Litman•American Journal of Public Health•1972

  Incluir item

• The physician's associate-a task analysis

  Julie A Braun, D R Howard et al.•American Journal of Public Health•1973

  Incluir item

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

  Doris M Storms, John G Fox•Medical Care•1979

  Incluir item

• A Study of the Validity of the Task Inventory Method of Job Analysis

  Eugene C Nelson, Arthur R Jacobs et al.•Medical Care•1975

  Incluir item

• A Study of Physicians?? Assistants in a Rural Setting

  David L Miles, William A Rushing•Medical Care•1976

  Incluir item

• The Role of New Health Practitioners in a Prepaid Group Practice

  David M Levine, Laura Morlock et al.•Medical Care•1976

  Incluir item