Physician Assistants in Primary Care: Trends and Characteristics
Abstract Purpose Physician assistants (PAs) have made major contributions to the primary care workforce. Since the mid-1990s, however, the percentage of PAs working in primary care has declined. The purpose of this study was to identify demographic characteristics associated with PAs who practice in...
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| Veröffentlicht in: | Annals of family medicine 2013, Vol.11 (1), p.75-79 |
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| creator | Coplan, Bettie, MPAS, PA-C Cawley, James, MPH, PA-C Stoehr, James, PhD |
| description | Abstract Purpose Physician assistants (PAs) have made major contributions to the primary care workforce. Since the mid-1990s, however, the percentage of PAs working in primary care has declined. The purpose of this study was to identify demographic characteristics associated with PAs who practice in primary care. Methods We obtained data from the 2009 American Academy of Physician Assistants’ Annual Census Survey and used univariate analyses, logistic regression analyses, and χ2 trend tests to assess differences in demographics (eg, age, sex, race) between primary care and non–primary care PAs. Survey respondents had graduated from PA school between 1965 and 2008. Results Of 72,433 PAs surveyed, 19,608 participated (27% of all PAs eligible to practice). Incomplete questionnaires were eliminated resulting in a final sample of 18,048. One-third of PAs reported working in primary care. Female, Hispanic, and older PAs were more likely to work in primary care practice. Trend tests showed a decline in the percentage of PAs working in primary care in the sample overall (average 0.3% decrease per year; P |
| doi_str_mv | 10.1370/afm.1432 |
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Since the mid-1990s, however, the percentage of PAs working in primary care has declined. The purpose of this study was to identify demographic characteristics associated with PAs who practice in primary care. Methods We obtained data from the 2009 American Academy of Physician Assistants’ Annual Census Survey and used univariate analyses, logistic regression analyses, and χ2 trend tests to assess differences in demographics (eg, age, sex, race) between primary care and non–primary care PAs. Survey respondents had graduated from PA school between 1965 and 2008. Results Of 72,433 PAs surveyed, 19,608 participated (27% of all PAs eligible to practice). Incomplete questionnaires were eliminated resulting in a final sample of 18,048. One-third of PAs reported working in primary care. Female, Hispanic, and older PAs were more likely to work in primary care practice. Trend tests showed a decline in the percentage of PAs working in primary care in the sample overall (average 0.3% decrease per year; P <.0001). In the cohort of 2004-2008 graduates, however, the percentage of primary care PAs increased slightly by an average of 0.9% per year ( P = .02). Nonetheless, the low response rate of the census limits the ability to generalize these findings to the total population of PAs. Conclusions Demographics associated with an increased likelihood of primary care practice among PAs appear to be similar to those of medical students who choose primary care. Knowledge of these characteristics may help efforts to increase the number of primary care PAs.</description><identifier>ISSN: 1544-1709</identifier><identifier>EISSN: 1544-1717</identifier><identifier>DOI: 10.1370/afm.1432</identifier><identifier>PMID: 23319509</identifier><language>eng</language><publisher>United States: American Academy of Family Physicians</publisher><subject>Adult ; Career Choice ; Chi-Square Distribution ; Female ; Health Care Surveys ; Humans ; Internal Medicine ; Logistic Models ; Male ; Original Research ; Physician Assistants - statistics & numerical data ; Physician Assistants - supply & distribution ; Physician Assistants - trends ; Primary Health Care - manpower ; Surveys and Questionnaires ; United States</subject><ispartof>Annals of family medicine, 2013, Vol.11 (1), p.75-79</ispartof><rights>Annals of Family Medicine, Inc.</rights><rights>2013 Annals of Family Medicine, Inc. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-ca75949d37c1eb79a8fa29736d017e4a83df47b40a16a06a48734bff0c4e9fa53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3596034/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3596034/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23319509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coplan, Bettie, MPAS, PA-C</creatorcontrib><creatorcontrib>Cawley, James, MPH, PA-C</creatorcontrib><creatorcontrib>Stoehr, James, PhD</creatorcontrib><title>Physician Assistants in Primary Care: Trends and Characteristics</title><title>Annals of family medicine</title><addtitle>Ann Fam Med</addtitle><description>Abstract Purpose Physician assistants (PAs) have made major contributions to the primary care workforce. Since the mid-1990s, however, the percentage of PAs working in primary care has declined. The purpose of this study was to identify demographic characteristics associated with PAs who practice in primary care. Methods We obtained data from the 2009 American Academy of Physician Assistants’ Annual Census Survey and used univariate analyses, logistic regression analyses, and χ2 trend tests to assess differences in demographics (eg, age, sex, race) between primary care and non–primary care PAs. Survey respondents had graduated from PA school between 1965 and 2008. Results Of 72,433 PAs surveyed, 19,608 participated (27% of all PAs eligible to practice). Incomplete questionnaires were eliminated resulting in a final sample of 18,048. One-third of PAs reported working in primary care. Female, Hispanic, and older PAs were more likely to work in primary care practice. Trend tests showed a decline in the percentage of PAs working in primary care in the sample overall (average 0.3% decrease per year; P <.0001). In the cohort of 2004-2008 graduates, however, the percentage of primary care PAs increased slightly by an average of 0.9% per year ( P = .02). Nonetheless, the low response rate of the census limits the ability to generalize these findings to the total population of PAs. Conclusions Demographics associated with an increased likelihood of primary care practice among PAs appear to be similar to those of medical students who choose primary care. Knowledge of these characteristics may help efforts to increase the number of primary care PAs.</description><subject>Adult</subject><subject>Career Choice</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Original Research</subject><subject>Physician Assistants - statistics & numerical data</subject><subject>Physician Assistants - supply & distribution</subject><subject>Physician Assistants - trends</subject><subject>Primary Health Care - manpower</subject><subject>Surveys and Questionnaires</subject><subject>United States</subject><issn>1544-1709</issn><issn>1544-1717</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkUtLA0EQhAdRjC_wF8gevSTOa3cyHsQQfIGgoJ6HzmyvGd3M6vQmkH_vBmPUUzd0UV18xdix4AOhDD-DajYQWskttidyrfvCCLO92bntsX2iN86lkErusp5UStic2z12-ThdUvABYjYiCtRCbCkLMXtMYQZpmY0h4Xn2nDCWlEEss_EUEvgWUycOng7ZTgU14dF6HrCX66vn8W3__uHmbjy673stTdv3YHKrbamMFzgxFoYVSGtUUXJhUMNQlZU2E81BFMAL0EOj9KSquNdoK8jVAbv49v2YT2ZYeoxtgtp9fMd0DQT3_xLD1L02C6dyW3ClO4PTtUFqPudIrZsF8ljXELGZkxPSqFznRue_Up8aooTV5o3gbgXcdcDdCngnPfkbayP8IfybGzs4i4DJ-TrE4KF-xyXSWzNPsePmhCPpuHtadbaqTKiCcyGH6gsBKJDr</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Coplan, Bettie, MPAS, PA-C</creator><creator>Cawley, James, MPH, PA-C</creator><creator>Stoehr, James, PhD</creator><general>American Academy of Family Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2013</creationdate><title>Physician Assistants in Primary Care: Trends and Characteristics</title><author>Coplan, Bettie, MPAS, PA-C ; Cawley, James, MPH, PA-C ; Stoehr, James, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-ca75949d37c1eb79a8fa29736d017e4a83df47b40a16a06a48734bff0c4e9fa53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Career Choice</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Original Research</topic><topic>Physician Assistants - statistics & numerical data</topic><topic>Physician Assistants - supply & distribution</topic><topic>Physician Assistants - trends</topic><topic>Primary Health Care - manpower</topic><topic>Surveys and Questionnaires</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coplan, Bettie, MPAS, PA-C</creatorcontrib><creatorcontrib>Cawley, James, MPH, PA-C</creatorcontrib><creatorcontrib>Stoehr, James, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of family medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coplan, Bettie, MPAS, PA-C</au><au>Cawley, James, MPH, PA-C</au><au>Stoehr, James, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physician Assistants in Primary Care: Trends and Characteristics</atitle><jtitle>Annals of family medicine</jtitle><addtitle>Ann Fam Med</addtitle><date>2013</date><risdate>2013</risdate><volume>11</volume><issue>1</issue><spage>75</spage><epage>79</epage><pages>75-79</pages><issn>1544-1709</issn><eissn>1544-1717</eissn><abstract>Abstract Purpose Physician assistants (PAs) have made major contributions to the primary care workforce. Since the mid-1990s, however, the percentage of PAs working in primary care has declined. The purpose of this study was to identify demographic characteristics associated with PAs who practice in primary care. Methods We obtained data from the 2009 American Academy of Physician Assistants’ Annual Census Survey and used univariate analyses, logistic regression analyses, and χ2 trend tests to assess differences in demographics (eg, age, sex, race) between primary care and non–primary care PAs. Survey respondents had graduated from PA school between 1965 and 2008. Results Of 72,433 PAs surveyed, 19,608 participated (27% of all PAs eligible to practice). Incomplete questionnaires were eliminated resulting in a final sample of 18,048. One-third of PAs reported working in primary care. Female, Hispanic, and older PAs were more likely to work in primary care practice. Trend tests showed a decline in the percentage of PAs working in primary care in the sample overall (average 0.3% decrease per year; P <.0001). In the cohort of 2004-2008 graduates, however, the percentage of primary care PAs increased slightly by an average of 0.9% per year ( P = .02). Nonetheless, the low response rate of the census limits the ability to generalize these findings to the total population of PAs. Conclusions Demographics associated with an increased likelihood of primary care practice among PAs appear to be similar to those of medical students who choose primary care. Knowledge of these characteristics may help efforts to increase the number of primary care PAs.</abstract><cop>United States</cop><pub>American Academy of Family Physicians</pub><pmid>23319509</pmid><doi>10.1370/afm.1432</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Career Choice Chi-Square Distribution Female Health Care Surveys Humans Internal Medicine Logistic Models Male Original Research Physician Assistants - statistics & numerical data Physician Assistants - supply & distribution Physician Assistants - trends Primary Health Care - manpower Surveys and Questionnaires United States |
| title | Physician Assistants in Primary Care: Trends and Characteristics |
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