Introduction There are many important positions that play vital roles in the general healthcare model. Two of these important positions that make up the team are the Physician Assistant and the Nurse Practitioner. Although their roles are very similar, the way in which each achieves their position in the healthcare field is very different. The Physician Assistant and Nurse Practitioner have differing education and specialty paths. Also, each position has a unique way to approach and manage the patient’s care.
Significance
According to the AAPA, The Affordable Care Act was the first place where Physician Assistants and Nurse Practitioners were termed as two of the three “primary care providers.”1 The PA and the NP each play a similar role
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According to the Bureau of Labor Statistics Occupational Outlook Handbook the employment of PAs is expected to make a 30% increase in just 10 short years.7 Similarly, the NP employment is expected to grow by 31% over the next 10 years.8 As each position grows and gains more authority they have impacts on each other’s salaries and that of a Physician.9 According to John J. Perry’s research on the impact of the NP gaining more authority in practice had a negative impact on both the PA and Physician’s salaries.9 While the negative impact only lead to a 1.4% decrease in PA salary, the decrease was much larger for physicians experiencing a decrease of roughly 7.6% each year.9 If the PA was granted more authority similar to that of a NP this decreased the NP salary by only 0.8% annually.9 Lastly, if the PA is granted more prescriptive authority, the physician’s salary increases by almost 8% for each year that the PA is granted this authority. This positive impact on physicians is due to the fact that PAs had direct supervision from the
It is the most influential source of insight for PA’s practicing in MI. Its purpose is to “encourage its members to abide by the AAPA code of ethical conduct”, “serve as a public information center with respect to its members, health professions, governments agencies, and the general public”, and “ represent its members in matters of legislation in order to maintain and further develop the practice of the profession” 2. Since the mid 1970s, MAPA has been an important advocator for its members and has not only worked on the improvement of working environments for physician assistants but is also involved in politicizing for enhancements in the scope of practice as well as raising a voice on actions that may impose a threat on the Physician Assistant occupation. At the turn of the century, the ‘Barriers to PA Practice’ list was created by MAPA in order to “overturn all of the antiquated laws disallowing PAs to practice in aspects of care or allowing negative interpretation by administrators of health plans and State agencies” 3. Since this list was created, many new public acts have been passed allowing physician assistants in Michigan to gain more independence. Some important advancements that occurred during this time included MAPA’s involvement in overturning office supervision guidelines insurances such as Blue Cross Blue Shield of Michigan imposed on physician assistants as well as overturning the insurances refusal to pay surgical PAs, Public Act 281 which allowed referrals from physician assistant to a physical therapist, and Public Acts 124-126 which approved Physician Assistants to be added to a “list of professionals able to form professional corporations (PC) and professional limited liability corporations (PLLC) and clarifies that physicians and
In Arizona, NP’s do not have to work with a physician, but can manage patients independently (Buppert, 2015). This author’s understanding of NP’s scope of practice was changed. It is confusing to try to learn
Nurse practitioners will be present at all outpatient locations functioning as primary care providers in family practice and other practice settings (pediatrics, geriatrics, acute care, and other specialties). CNMs will be providing midwifery care along with primary health care of women. Nurse-midwives in United States have demonstrated excellent results in their field of practice throughout the years, especially attending to underserved, uninsured, low-income women (Lindeke, Fagerlund, Avery, & Zwygart-Stauffacher, 2010). CNSs will serve the role of case managers and care coordinators mainly at the hospital leading discharge planning of those patients with complex health problems. CRNAs will provide their services at the hospital for the patients in the intensive care unit.
There is a noticeable gap in the supply for patients and demand for health care providers. Collaborating with fellow physician assistants, researching new ideas and focusing on new strategies for care in areas can help close this gap. Through my experiences, I have noted the need for support in patient care, and thus arises the question of should there be a requirement to enter the health care system through a gatekeeper. The overwhelming distance seen in the lack of professionals able to meet the demands of growing number of patients, eliminates the possibility of receiving adequate care. Overcrowded halls, overflowing rooms does not help balance the requirement for sufficient support.
Running head: PHYSICIAN ASSISTANT CONTRIBUTIONS TO MANAGED CARE ORGANIZATIONS Physician Assistants and Nurse Practitioners: The impact if statutes limiting PA and NP were eliminated Natalie L. Burnett Kaplan University Master of Health Care Administration Program Abstract The purpose of this research is to explain what would happen to the level of completion in the physician services market if all statutes limiting activities of physician assistants and nurse practitioners were elimiintated. (Teacher Name, Date) demonstrate the value that a physician assistant (PA) can provide to a managed care organization. The increasing competitiveness of the health care market has caused managed care organizations to become more aware of the
Physician Assistant help their patients by giving them prescriptions, and asking them to visit the clinic often to see if the medicines they provided are working. They will also ask if the patient would like to set up meetings to help get their health on the
Therefore, physician assistants will become more important to the United States health care system to continue to provide health care services and even serve a role as a primary care
Specialty Certification Is the physician assistant (PA) profession shifting away from its origins? At the beginning of the PA profession, the majority of PAs worked in primary care to ameliorate the shortage family medicine clinicians. However, in actuality, only one-third of PAs work in primary care while the vast majority has transferred to specialty practice (Bodenheimer & Cramback, 2009). Furthermore, the National Commission on Certification of Physician Assistants (NCCPA), has introduced specialty certification programs which could further change the original purpose of the PA occupation. Therefore, it is important to evaluate the goal of the NCCPA specialty certification program, its advantages, and disadvantages.
It increases the demand for the services and word spreads of the physicians (Peloso,
The article grabbed the attention of many including the legislators and policy makers who failed to recognize the contribution of nurse practitioners in making healthcare more affordable and accessible. The aftermath of this article is the current state of advance nursing practice. Even though we have not overcome all the barriers but there has been a lot of improvements in existing barriers. As Safriet mentioned in her article that nurse practitioners can be fundamental in restructuring the complex healthcare system. Nurse practitioners have repeatedly proved that they can provide cost-effective and high quality care to patients of all
Nurse Practitioner Interview I spoke with a friend’s sister, a recent graduate DNP, who works as a women’s health NP at a public health clinic system in Utah. Role The role of the women’s health care nurse practitioner can vary widely depending on the setting. J. Yale sees patients for both annual visits as their main care provider and for gynecological issues (personal communication, September 9, 2016). “Many people don’t realize you can do annual visits,” she said, “for example, I can treat someone for high blood pressure in the clinic, in an office setting.”
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with
Calvin Neal Exploring a Health Career: Physician Assistant Ever since my cousin Paul, whom I’ve always looked up to, went to college and became a PA, I’ve wanted to follow in his footsteps. The definition of a physician assistant is “someone qualified to assist a physician and carry out routine clinical procedures under the supervision of a physician.” However, physician assistants can be so much more than that. They work in numerous fields such as pediatrics, obstetrics, orthopaedics, and with several health care providers such as nurses, surgeons, and physicians.