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Physician's extenders' performance in Air Force clinics.

G A Goldberg, D M Jolly, S Hosek

    Medical Care
    |September 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

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    Physician extenders, including physician assistants and nurse practitioners, provide quality care comparable to physicians in Air Force primary medicine clinics. This study confirms their capability to manage a significant patient load effectively.

    Area of Science:

    • Healthcare Quality
    • Military Medicine
    • Primary Care

    Background:

    • Physician extenders (PEs) are increasingly integrated into military healthcare.
    • Evaluating the quality of care provided by PEs is crucial for healthcare system optimization.

    Purpose of the Study:

    • To assess the quality of care delivered by physician assistants (PAs) and primary care nurse practitioners (NPs) in Air Force primary medicine clinics.
    • To compare the performance of PEs with that of physicians in a military medical setting.

    Main Methods:

    • A comparative evaluation of PEs (23 PAs, 7 NPs) and physicians using process-of-care criteria.
    • Analysis of ancillary service utilization and further care orders.
    • Assessment of physician consultation rates for PEs.

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    Main Results:

    • PAs met physician standards on 25/28 criteria; NPs met standards on 14/19 criteria.
    • No significant performance differences were observed between PAs and NPs.
    • PEs and physicians exhibited similar patterns in ancillary service use and referrals.
    • PEs consulted physicians infrequently, with rates comparable to civilian settings, especially for serious complaints.

    Conclusions:

    • The Air Force can maintain the same quality of care by allowing PEs to manage a substantial proportion of patients.
    • PEs demonstrate effective and comparable performance in primary care settings within the military medical system.