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Nurse Practitioner and Physician Assistant Satellite Health Centers

The Pending Demise of an Organizational Form

Bibliographic Data

ID9101277
AuthorsEdward F Brooks, Susan L Johnson (0000-0002-2804-9477, University of North Carolina at Chapel Hill)
Year1986
Volume24
Issue10
Pages881-890
Publication date1986-10-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198610000-00002
PMID2876132
OpenAlexW2041771698
LanguageEN
Citations received3
References cited11

A national cohort of 44 rural satellite health centers originally staffed by nurse practitioners (NPs) and physician assistants (PAs) was studied in 1975 and resurveyed in 1979 and in 1984 to examine the viability of this type of health-care delivery organization during a period of significant growth in the nation's physician supply. Twelve of these practices had ceased to function, although eight have been replaced by physician practices. Of the remaining 32, 14 have physicians on their staffs and 18 remain staffed only by NPs and PAs. Those centers staffed by physicians experience greater patient utilization, charge more for office visits, have larger budgets, and generate more of their budgets from fees for services and therefore appear to be more organizationally stable than centers staffed only by NPs and PAs. Although broader studies are needed for substantiation, these findings suggest that the period when NP/PA-staffed satellite health centers were important organizations for delivering care to previously underserved rural communities may be ending

Family medicine · Health care · Nurse practitioners · Physician assistants · Global Health Workforce Issues · Medicine · Nursing · Nursing Roles and Practices · Primary Care and Health Outcomes

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    Open Access•LaVonne A Straub•The Journal of Rural Health•1990

  • The Employment and Use of Nurse Practitioners and Physician Assistants by Rural Hospitals

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    David S Salkever, Elizabeth A Skinner et al.•Medical Care•1982

  • A Description of a Means of Improving Ambulatory Care in a Large Municipal Teaching Hospital

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Citations per year0.08
Citation span1990 - 1997 (8)
Highly citedNo

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