A physician associate-led clinic for people with severe mental illness in the United Kingdom

Shah, Chetan; Singh, Pratima; Matin, Samina; Magon, Rakesh; Zia, Asif; Tatt-Smith, Paris; Watson, Charles; Smith, Andrew

doi:10.1097/01.jaa.0000758220.38067.49

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…A 2021 article profiled a PA-led clinic that focused on treating physical illness concerns, such as metabolic complications of psychotropic medications in patients diagnosed with severe mental illness. 23 The study found that PAs can be effectively integrated into multidisciplinary teams and provide adequate care to patient populations with severe mental illnesses. The study highlights the holistic level of healthcare that PAs can provide in mental health care settings.…”

Section: Evidence From Other Contextsmentioning

confidence: 94%

“…Further evidence of successful PA integration into psychiatry/mental health care fields can be found in the United Kingdom. A 2021 article profiled a PA-led clinic that focused on treating physical illness concerns, such as metabolic complications of psychotropic medications in patients diagnosed with severe mental illness 23. The study found that PAs can be effectively integrated into multidisciplinary teams and provide adequate care to patient populations with severe mental illnesses.…”

Section: Evidence From Other Contextsmentioning

confidence: 99%

“…The study found that PAs can be effectively integrated into multidisciplinary teams and provide adequate care to patient populations with severe mental illnesses. The study highlights the holistic level of healthcare that PAs can provide in mental health care settings 23…”

Section: Evidence From Other Contextsmentioning

confidence: 99%

“…The study highlights the holistic level of healthcare that PAs can provide in mental health care settings. 23…”

Section: Evidence From Other Contextsmentioning

confidence: 99%

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Revisiting the unmet mental health needs in Canada

McAllister,

Olagunju

2023

Jaapa

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In Canada, unmet mental health care needs remain a major issue despite mental disorders ranking as the second largest source of years lost to disability. As discussions continue on alternative models of healthcare to reduce the long waiting times for mental health treatment, leveraging the skills and resources available from physician associates/assistants (PAs) and NPs becomes imperative. Relatively few PAs in Canada work in psychiatry, despite widespread acceptance in other medical disciplines. Sustainable funding models for the training, recruitment, and retention of PAs in mental health care are vital. More research, policy development, and interprofessional collaboration can enhance the effective integration of PAs into mental health care.

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Section: Evidence From Other Contextsmentioning

confidence: 94%

Section: Evidence From Other Contextsmentioning

confidence: 99%

Section: Evidence From Other Contextsmentioning

confidence: 99%

“…The study highlights the holistic level of healthcare that PAs can provide in mental health care settings. 23…”

Section: Evidence From Other Contextsmentioning

confidence: 99%

See 2 more Smart Citations

Revisiting the unmet mental health needs in Canada

McAllister,

Olagunju

2023

Jaapa

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Public perception of the physician associate profession in the UK: a systematic review

Swainston,

Zhao,

Harriss

et al. 2024

BMC Health Serv Res

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Background The physician associate (PA) role within the NHS is currently under scrutiny due to recent legislative changes and concerns about their scope of practice within primary and secondary healthcare. There is currently limited knowledge of public understanding of PAs and their levels of satisfaction with PAs. This review synthesises the evidence relating to patients’ and potential patients’ understanding of and satisfaction with the PA profession in the UK. Methods We systematically searched Ovid MEDLINE, Ovid EMBASE, Ovid PsycINFO, EBSCOhost CINAHL, Education Resources Information Centre (ERIC), ProQuest Dissertations and Theses Global, and Scopus databases for empirical studies of patient understanding of PAs or satisfaction with PAs. We included quantitative, qualitative, and mixed-methods studies looking at PAs in primary and/or secondary care. Quality appraisal was conducted using the CASP Critical Appraisal checklists. A reflexive thematic analysis was used to synthesise data and the GRADE-CERqual method was used to assess the certainty of the themes. Results A total of 18 papers involving 15 studies were included in the review. Findings revealed that patients had limited understanding of the PA role with many mistaking PAs for doctors and other healthcare professionals. Patients were confused by the lack of PA prescribing rights. There was receptivity to learn more about the PA role. The evidence suggests that patients had a largely positive view of PAs after an encounter, despite their lack of knowledge about the role. Many patients expressed a willingness to be seen by PAs in future and viewed them as a useful part of the wider healthcare system. Conclusion In the UK, there is limited information about, and understanding of, the PA role. Nevertheless, patients were largely satisfied with the quality of care they receive from PAs during consultations. Our findings suggest a need for comprehensive public information regarding the roles and scope of practice of PA’s, and to provide the public and patients with clear expectations of their relative strengths and limitations. Further research might determine if these findings are specific to PAs, or reflect wider issues affecting public perception of other cadres of healthcare professionals.

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A physician associate-led clinic for people with severe mental illness in the United Kingdom

Cited by 2 publications

References 7 publications

Revisiting the unmet mental health needs in Canada

Revisiting the unmet mental health needs in Canada

Public perception of the physician associate profession in the UK: a systematic review

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