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PAs in primary care: Current status and workforce implications.

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Primary care physician assistants (PAs) are older, manage more patients, and consult less with physicians than their specialty counterparts. Challenges exist in retaining this vital workforce.

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Area of Science:

  • Healthcare workforce analysis
  • Primary care research
  • Physician assistant studies

Background:

  • Understanding the primary care physician assistant (PA) workforce is crucial for innovative healthcare delivery models.
  • Primary care PAs play a significant role in patient access and care.
  • Comparing primary care PA practice to other specialties provides insights into workforce dynamics.

Purpose of the Study:

  • To describe the characteristics of primary care PA practice.
  • To compare primary care PA practice with PA practice in other medical specialties.

Main Methods:

  • Analysis of data from two national American Academy of Physician Assistants surveys conducted in 2015.
  • Descriptive statistics were used to summarize workforce characteristics.
  • Tests of column proportions and means assessed statistically significant differences between groups.

Main Results:

  • Primary care PAs were older and managed a higher patient volume weekly compared to specialty PAs.
  • Primary care PAs spent less time consulting with physicians.
  • A higher proportion of primary care PAs were Hispanic, had military service, and indicated plans to retire or leave their specialty.

Conclusions:

  • Primary care PAs demonstrate unique strengths beneficial to patient care.
  • Substantial challenges threaten the sustainability of the primary care PA workforce.
  • Strategies are needed to address retention and support for primary care PAs.