Specialty distribution of physician assistants and nurse practitioners in North Carolina

被引：13

作者：

Fraher, Erin P. ^{[1
,2
]}

Morgan, Perri ^{[3
]}

Johnson, Anna ^{[4
]}

机构：

[1] Univ N Carolina, Dept Family Med, Chapel Hill, NC 27514 USA

[2] Univ N Carolina, Dept Surg, Chapel Hill, NC USA

[3] Duke Univ, Sch Med, Dept Community & Family Med, Durham, NC USA

[4] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA

来源：

JAAPA-JOURNAL OF THE AMERICAN ACADEMY OF PHYSICIAN ASSISTANTS | 2016年 / 29卷 / 04期

关键词：

physician assistant; nurse practitioner; specialty; workforce; primary care; specialty trends; PRIMARY-CARE; UNITED-STATES; SHORTAGE; COULD;

D O I：

10.1097/01.JAA.0000481402.98969.07

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Physician workforce projections often include scenarios that forecast physician shortages under different assumptions about the deployment of physician assistants (PAs) and nurse practitioners (NPs). These scenarios generally assume that PAs and NPs are an interchangeable resource and that their specialty distributions do not change over time. This study investigated changes in PA and NP specialty distribution in North Carolina between 1997 and 2013. The data show that over the study period, PAs and NPs practiced in a wide range of specialties, but each profession had a specific pattern. The proportion of PAs-but not NPs-reporting practice in primary care dropped significantly. PAs were more likely than NPs to report practice in urgent care, emergency medicine, and surgical subspecialties. Physician workforce models need to account for the different and changing specialization trends of NPs and PAs.

引用

页码：38 / 43

页数：6

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