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Emergency medicine services: interprofessional care trends
Roderick S Hooker1, Daisha J Cipher, James F Cawley
1Department of Veterans Affairs, Dallas VA Medical Center, Dallas, Texas 75216-7191, USA. Roderick.hooker@va.gov
Journal of Interprofessional Care
|March 6, 2008
Summary
Physician Assistants (PAs) and Nurse Practitioners (NPs) significantly increased their roles in emergency medicine between 1995-2004. This expansion is crucial given rising emergency department visits and physician shortages.
Area of Science:
- Emergency Medicine
- Healthcare Workforce Analysis
- Interprofessional Collaboration
Background:
- Emergency medicine faces increasing demand and physician shortages.
- Understanding provider roles is key to effective emergency care delivery.
Purpose of the Study:
- To analyze trends in emergency medicine provider roles from 1995-2004.
- To examine the interprofessional dynamics between physicians, Physician Assistants (PAs), and Nurse Practitioners (NPs).
Main Methods:
- Analysis of the National Hospital Ambulatory Medical Care Survey (1995-2004).
- Examined over 1 billion weighted emergency room visits.
- Data stratified by provider, patient characteristics, and diagnoses.
Main Results:
- Physician Assistants (PAs) and Nurse Practitioners (NPs) saw increased emergency visit shares.
- PA roles doubled during the study period.
- Medication prescription patterns were consistent across provider types.
Conclusions:
- The roles of PAs and NPs in emergency medicine have expanded significantly.
- Interprofessional care models are vital for addressing physician shortages.
- Policy is needed for workforce planning to meet future emergency care demands.
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