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Establishment of a Clinic-based Biorepository
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"Elder" physician assistants and their practices.

W R Duryea1, R S Hooker

  • 1Department of Physician Assistant Sciences, St. Francis College, Loretto, Pa, USA.

JAAPA : Official Journal of the American Academy of Physician Assistants
|August 16, 2001
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Summary

America's physician assistants (PAs) are aging, with older PAs increasingly caring for elderly patients. This trend has significant implications for primary care services, especially in rural areas.

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Area of Science:

  • Geriatric Medicine
  • Health Workforce Studies
  • Physician Assistant Studies

Background:

  • Physician assistants (PAs) are a vital part of the US healthcare system.
  • The aging demographic of the general population necessitates a closer look at the aging healthcare workforce, including PAs.

Purpose of the Study:

  • To describe the phenomenon of an increasing number of older PAs in the US.
  • To analyze the practice patterns of PAs aged 60 and older.

Main Methods:

  • A cohort of practicing PAs aged 60+ was compared to the general PA population.
  • Demographic variables, practice settings, and services provided were analyzed.

Main Results:

  • PAs aged 60+ represented 1.6% of full-time PAs in 1998, with an average age of 64.
  • Older PAs had longer practice experience and were more likely to hold doctorates.
  • Elder PAs were more likely to serve older patients, practice in rural areas, and remain in rural practice longer.

Conclusions:

  • A growing number of PAs continue practicing beyond traditional retirement age.
  • Older PAs disproportionately care for elderly patients and prefer rural practice settings.
  • The aging PA workforce has significant implications for clinical practice and health workforce planning, particularly for rural primary care delivery.