Physician assistants in rural communities
James F Cawley1, Steven Lane, Noel Smith
1James F. Cawley is professor of prevention and community health and professor of physician assistant studies at The George Washington University in Washington, D.C., and senior research fellow at the American Academy of Physician Assistants (AAPA) in Alexandria, Va. Steven Lane is senior writer at AAPA. Noel Smith is senior director of PA and industry research and analysis in AAPA's Division of Research. Elizabeth Bush was AAPA's senior vice president of member value and research when this article was written. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Physician Assistants (PAs) in rural areas are vital for primary care, serving diverse patients and improving access. Hiring PAs benefits rural practices and communities economically and medically.
Area of Science:
- Health Policy
- Rural Health
- Medical Practice Management
Background:
- Physician Assistants (PAs) are crucial healthcare providers, with approximately 12% serving in rural settings as of 2013.
- PAs in rural environments often focus on primary care, manage a broader scope of practice, and treat underserved populations.
Purpose of the Study:
- To examine the role and impact of Physician Assistants in rural healthcare settings.
- To highlight the contributions of PAs to rural health outcomes and practice economics.
Main Methods:
- Analysis of data from the 2013 Annual Survey of the American Academy of Physician Assistants.
- Review of existing studies demonstrating the positive effects of PAs on rural health.
Main Results:
- Rural PAs are more prevalent in primary care, possess wider practice scopes, and serve a higher proportion of uninsured or publicly insured patients.
- Studies confirm that PAs positively impact rural health by providing cost-effective, safe care and increasing access, especially for chronic conditions.
- Employing PAs offers economic advantages to rural medical practices and their communities.
Conclusions:
- Physician Assistants are integral to the sustainability and effectiveness of rural healthcare delivery.
- PAs enhance access to care, manage chronic conditions, and provide economic benefits in rural areas.
- Expanding the role of PAs is a strategic imperative for strengthening rural health systems.
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