Accession Number:

ADA082491

Title:

Quality of Care Provided by Physician's Extenders in Air Force Primary Medicine Clinics.

Descriptive Note:

Interim rept.,

Corporate Author:

RAND CORP SANTA MONICA CA

Personal Author(s):

Report Date:

1980-01-01

Pagination or Media Count:

86.0

Abstract:

Evaluates the quality of care of physicians extenders 23 physicians assistants and 7 primary care nurse practitioners in Air Force primary medicine clinics, as part of an evaluation of PEs assuming care formerly provided by physicians. Physicians assistants performed at least as well as MDs on 25 out of 28 nonredundant process-of-care criteria. Nurse practitioners met the MD 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 MDs 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 sizeable proportion of patients formerly treated by MDs. Author

Subject Categories:

  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE