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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ginde, Adit A. Espinola, Janice A. Sullivan, Ashley F. Blum, Frederick C. Camargo, Carlos A. |
| Spatial Coverage | United States |
| Description | Country affiliation: United States Author Affiliation: Ginde AA ( Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, CO 80045, USA. adit.ginde@ucdenver.edu) |
| Abstract | OBJECTIVE: The aim of the study was to evaluate use of physician assistants (PAs) and nurse practitioners (NPs) in US emergency departments (EDs). METHODS: We analyzed visits from the 1993 to 2005 National Hospital Ambulatory Medical Care Survey, seen by midlevel provider (MLP), and compared characteristics of MLP visits to those seen by physicians only. RESULTS: From 1993 to 2005, 5.2% (95% CI, 4.6%-5.8%) of US ED visits were seen by PAs and 1.7% (95% CI, 1.5%-2.0%) by NPs. During the study period, PA visits rose from 2.9% to 9.1%, whereas NP visits rose from 1.1% to 3.8% (both P(trend) < .001). Compared to physician only visits, those seen only by MLPs arrived by ambulance less frequently (6.0% vs 15%), had lower urgent acuity (37% vs 59%), and were admitted less often (3.0% vs 13%). CONCLUSIONS: Midlevel provider use has increased in US EDs. Their involvement in some urgent visits and those requiring admission suggests that the role of MLPs extends beyond minor presentations. |
| File Format | HTM / HTML |
| ISSN | 07356757 |
| Issue Number | 1 |
| Volume Number | 28 |
| e-ISSN | 15328171 |
| Journal | The American Journal of Emergency Medicine |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-01-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Emergency Discipline Medicine Emergency Service, Hospital Manpower Nurse Practitioners Utilization Physician Assistants Adolescent Adult Cross-sectional Studies Female Health Care Surveys Humans Male Middle Aged United States Epidemiology Young Adult Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |
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