Physician Assistant and Nurse Practitioner Prescribing: 1997-2002

Hooker, Roderick S.; Cipher, Daisha J.

doi:10.1111/j.1748-0361.2005.tb00107.x

Cited by 31 publications

(34 citation statements)

References 16 publications

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“…PAs were more likely to prescribe a controlled substance than were physicians or NPs. In rural areas, NPs wrote more prescriptions than physicians and PAs, but both appear to prescribe in a manner similar to physicians in the type of medications used in their patient management (Hooker 2005). The majority of PAs in clinical practice appeared to be providing care in a manner similar to each other and similar to what ambulatory care doctors provide.…”

Section: Methodsmentioning

confidence: 99%

“…The conclusion was that Medicare beneficiaries are generally satisfied with their medical care and do not distinguish preferences based on the type of provider. For this group, the patient viewed all clinicians in primary care similarly across all patient characteristics (Hooker et al 2005).…”

Section: Methodsmentioning

confidence: 99%

“…One‐third (34%) is employed in primary care settings (defined as family medicine, general medicine and general paediatrics). Because of the uniqueness of the American healthcare system, it is unclear whether the benefits experienced from the introduction of PAs as primary care providers will be experienced similarly in other healthcare systems (Hooker 2005). Nor has their use in primary care been consolidated in any systematic fashion that would be useful to potential employers.…”

Section: Introductionmentioning

confidence: 99%

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The contributions of physician assistants in primary care systems

Hooker

Everett

2011

Health &Amp; Social Care in the Community

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Shortages of primary care doctors are occurring globally; one means of meeting this demand has been the use of physician assistants (PAs). Introduced in the United States in the late 1960s to address doctor shortages, the PA movement has grown to over 75,000 providers in 2011 and spread to Australia, Canada, Great Britain, The Netherlands, Germany, Ghana, and South Africa. A purposeful literature review was undertaken to assess the contribution of PAs to primary care systems. Contemporary studies suggest that PAs can contribute to the successful attainment of primary care functions, particularly the provision of comprehensive care, accessibility, and accountability. Employing PAs seems a reasonable strategy for providing primary care for diverse populations.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The contributions of physician assistants in primary care systems

Hooker

Everett

2011

Health &Amp; Social Care in the Community

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“…Hooker and Cipher [19] examined PA and NP prescribing, and reported differing prescriptive authority, with PAs licensed in 47 states, and NPs licensed in 40 states (although Cox [20] reported advanced nurse practitioners (ANPs) can prescribe in all 50 states). They found that PAs were more likely to prescribe a controlled substance than were physicians or NPs, except in rural areas, where NPs wrote more prescriptions, but that overall, both PAs and NPs prescribed in a manner similar to that of physicians.…”

Section: Introductionmentioning

confidence: 99%

New Role, New Country: introducing US physician assistants to Scotland

2007

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This paper draws from research commissioned by the Scottish Executive Health Department (SEHD). It provides a case study in the introduction of a new health care worker role into an already well established and "mature" workforce configuration It assesses the role of US style physician assistants (PAs), as a precursor to planned "piloting" of the PA role within the National Health Service (NHS) in Scotland.The evidence base for the use of PAs is examined, and ways in which an established role in one health system (the USA) could be introduced to another country, where the role is "new" and unfamiliar, are explored.The history of the development of the PA role in the US also highlights a sometimes somewhat problematic relationship between P nursing profession. The paper highlights that the concept of the PA role as a 'dependent practitioner' is not well understood or developed in the NHS, where autonomous practice within regulated professions is the norm. In the PA model, responsibility is shared, but accountability rests with the supervising physician. Clarity of role definition, and engendering mutual respect based on fair treatment and effective management of multi-disciplinary teams will be pre-requisites for effective deployment of this new role in the NHS in Scotland.

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“…Researchers have found that nurse practitioners in the US prescribe appropriately and have prescribing patterns similar to those of physicians. 5,6 Using data from the National Ambulatory Medical Care Survey, Hooker and Cipher 5 analyzed 149 202 primary care visits over a six-year period in which a prescription was written by a nurse practitioner, a physician assistant or a physician. The therapeutic classes prescribed and the number of prescriptions written per visit were similar between the three groups.…”

mentioning

confidence: 99%