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Costs, Productivity, and the Utilization of Physician's Extenders in Air Force Primary Medicine Clinics
Joan Buchanan
Susan D. Hosek
Rand Corporation
出版
Rand Corporation
, 1983
主題
History / Military / Aviation & Space
Medical / Allied Health Services / Medical Assistants
Medical / Health Care Delivery
Medical / Nursing / General
Medical / Military Medicine
Technology & Engineering / Military Science
ISBN
0833004972
9780833004970
URL
http://books.google.com.hk/books?id=SwbLtAEACAAJ&hl=&source=gbs_api
註釋
This report addresses the question of whether the extensive use of physician extenders--nonphysicians trained to perform some of the medical and administrative tasks traditionally performed by physicians--in Air Force hospitals is cost-effective. Specifically, it examines the productivity of extenders in outpatient care and the costs of procuring and using extenders. The authors focused on one type of extender, physician assistants (PAs), who are typically Air Force corpsmen with one year of classroom and one year of clinical training. The general conclusions were the following: In typical Air Force primary adult medicine clinics, PAs can substitute for physicians one-to-one for 80-90 percent of the patients whose problems lie within the PA's expertise. Relying on PAs to perform most of the primary medicine workload is currently cost-effective, and will remain so until the earnings of civilian physicians decrease markedly relative to the earnings of PAs.