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Comparing physicians and PAs as solo providers in a rural ED: A pilot study
1S. Jason Moore is a clinical researcher and an ED provider. The author has disclosed no potential conflicts of interest, financial or otherwise.
Objective:
To examine the use of physician assistants (PAs) as solo providers in rural EDs.
Methods:
This study compared ED metrics and patient characteristics between physicians and PAs at a critical access hospital in Arizona.
Results:
Nearly 26,000 patient encounters from the ED of the host institution were analyzed. Although minor variances in metrics were appreciated, transfers, 72-hour returns, and death rates were all similar among provider types. Results from this work do not demonstrate a clinically meaningful difference among ED metrics between physicians and PAs.
Conclusions:
Results from this study suggest that an appropriately trained and experienced PA can meet commonly used metrics in the care of patients presenting to this rural ED.
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