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Related Experiment Videos

Task delegation to physician extenders--some comparisons.

J K Glenn, J Goldman

    American Journal of Public Health
    |January 1, 1976
    PubMed
    Summary
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    Physician attitudes in 1969 predicted how tasks were delegated to physician extenders, like physician assistants and nurse practitioners, in 1973 primary care practices. Actual practices closely matched physician expectations for delegation.

    Area of Science:

    • Health Services Research
    • Medical Practice Management
    • Primary Care Medicine

    Background:

    • Physician extenders, including physician assistants and nurse practitioners, have become increasingly integrated into primary care.
    • Understanding the delegation of tasks to these professionals is crucial for optimizing healthcare delivery.
    • Physician attitudes towards delegation may influence actual practice patterns.

    Purpose of the Study:

    • To compare physician attitudes regarding task delegation from 1969 with actual task delegation practices in 1973.
    • To assess the congruence between physician expectations and the utilization of physician extenders in primary care settings.

    Main Methods:

    • A task delegation questionnaire was administered to 1973 primary care practices.
    • Data from 1973 practices were compared with a 1969 physician attitude survey.

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  • Seven primary care sites utilizing physician extenders and one control site were included.

    • Main Results:

    • Actual task delegation patterns in 1973 largely aligned with physician attitudes expressed in 1969.
    • Minor exceptions were observed, but overall, physicians' views on delegable tasks were reflected in practice.
    • Both physician assistants and nurse practitioners were involved in the studied ambulatory practices.

    Conclusions:

    • Physician attitudes are a significant predictor of task delegation to physician extenders.
    • The integration of physician extenders into primary care appears to align with established physician expectations.
    • Findings support the continued role of physician extenders in primary care settings, with delegation patterns reflecting physician consensus.