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"Research conducted at Rand on Air Force health delivery systems under Project Air Force"--Page iii.
Evaluates the quality of care of physician extenders (PEs) (23 physician assistants and seven primary care nurse practitioners) in Air Force primary medicine clinics, as part of an evaluation of PEs assuming care formerly provided by physicians. PEs performed at least as well as M.D.s on 25 out of 28 nonredundant process-of-care criteria. Nurse practitioners met the M.D. standard on 14 of 19 criteria. No major differences were found in PEs' use of ancillary services (laboratory and X-ray) or orders for further care when controlling for case-mix. As expected, PEs consulted M.D.s infrequently, but more often for serious complaints and at rates similar to those found in other PE studies. The study concludes that the Air Force can deliver the same quality of care when PEs treat a sizable proportion of patients formerly treated by M.D.s.
This report discusses the utilization of physician's assistants (PAs) in Air Force outpatient clinics and the applicability of the Air Force's experience to Army and Navy clinics. The authors first summarize the training of Air Force PAs, then describe the Air Force's increasing reliance on PAs to deliver primary medical care. A simple comparison of Army and Navy clinics with Air Force clinics indicates important differences do exist. Air Force use of PAs has been evaluated only in the primary medicine clinics of relatively small facilities. The authors do not recommend extension to other settings in any service without further study. (Author).
First multi-year cumulation covers six years: 1965-70.
Explore the past, present, and future of PA practice. The authors, noted educators, researchers, and practitioners, draw on extensive research to trace the evolution of the PA’s roles and responsibilities in the delivery of health care services. Their presentation of historical content balanced with discussions of the ethical, educational, legislative, and economic forces that are shaping that the profession makes this a contemporary classroom tool for PA’s learning their field and their roles.