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Related Experiment Videos

Comparing HMO physicians' attitudes towards NPs and PAs.

R E Johnson, D K Freeborn

    The Nurse Practitioner
    |January 1, 1986
    PubMed
    Summary
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    Physicians in health maintenance organizations generally have positive attitudes toward nurse practitioners and physician assistants, viewing them as beneficial for care quality and low malpractice risk. Specialty and gender may influence these perceptions.

    Area of Science:

    • Healthcare Management
    • Medical Practice Dynamics
    • Primary Care Research

    Background:

    • Physician attitudes towards advanced practice providers (APPs) are crucial for optimal healthcare delivery within integrated systems.
    • Understanding the factors influencing these attitudes, such as quality of care, malpractice risk, role perception, and gender bias, is essential for effective workforce integration.

    Purpose of the Study:

    • To examine physicians' attitudes towards nurse practitioners (NPs) and physician assistants (PAs) within a health maintenance organization (HMO).
    • To explore the underlying reasons for these attitudes, including perceived impact on quality of care, malpractice risk, role threat, and gender bias.

    Main Methods:

    • A survey was conducted among physicians in internal medicine, pediatrics, and obstetrics-gynecology within a large HMO serving 270,000 members.

    Related Experiment Videos

  • Physicians' attitudes and self-reported behaviors regarding the use of NPs and PAs were assessed.

    • Main Results:

    • Internists and pediatricians reported favorable attitudes towards both NPs and PAs, while obstetrician-gynecologists showed less favorable views.
    • Physicians across all specialties expressed a preference for NPs over PAs, believing NPs enhance care quality and pose lower malpractice risks without significant role threat.
    • While some gender bias was observed, it did not appear to limit the utilization of NPs.

    Conclusions:

    • Large, multi-specialty HMOs provide a conducive environment for NPs and PAs to practice primary care.
    • Physician acceptance of NPs and PAs is influenced by specialty, perceived impact on care quality, and malpractice concerns.
    • Addressing potential gender bias is important for equitable integration of APPs in healthcare settings.