Nurse practitioner and physician assistant practices in three HMOs
Implications for future US health manpower needs
Bibliographic Data
| ID | 11039718 |
|---|---|
| Authors | Jonathan P Weiner (0000-0002-8299-3995, Johns Hopkins University), Donald M Steinwachs, J W Williamson, Joanne Williamson (Johns Hopkins University) |
| Year | 1986 |
| Volume | 76 |
| Issue | 5 |
| Pages | 507-511 |
| Publication date | 1986-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.76.5.507 |
| PMID | 3515977 |
| OpenAlex | W1985720679 |
| Language | EN |
| Citations received | 12 |
| References cited | 8 |
This study empirically examines the practices of non-physician providers (NPPs) within three large competitive health maintenance organizations (HMOs), as well as the physicians' and NPPs' views regarding the ideal role of NPPs. These roles are compared with NPP delegation patterns incorporated in the modeling methodology developed by the Graduate Medical Education National Advisory Committee (GMENAC). GMENAC recommended relatively high levels of delegation by physicians to NPPs. One of the HMO sites made use of NPPs at rates even higher than GMENAC's national ideals, while the rates at the other two were lower. The normative ideals for pediatric NPPs developed at each HMO were consistently higher than their actual roles. Concerns with acceptance and the role of NPPs are clearly no longer issues. Instead, the limits on NPP involvement appear to relate to considerations of costs, availability, and the increasing numbers of physicians competing for similar opportunities
Delegation · Family medicine · Health care · Health maintenance · Normative · Political science · Child and Adolescent Health · Medicine · Nursing · Nursing Roles and Practices · Primary Care and Health Outcomes
Health Care Resources for Children and Pregnant Women
Assessing a Methodology for Physician Requirement Forecasting
The Influence of Managed Care on Supply of Certified Nurse-Midwives
An HMO survey on mass customization of healthcare delivery for women
The women-centered health care team
The system of alignments challenging physician professional dominance
HMOs and Managed Care
Rural Health Policy
HMOs and Managed Care
How many nurse practitioners are enough
Non-physician providers
Response from Drs. Weiner, Steinwachs, and Williamson
| Unique citing works | 12 |
|---|---|
| Citations per year | 0,3 |
| Citation span | 1986 - 2002 (17) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 9 |