Physician associates and GPs in primary care : a comparison. / Drennan, Vari M.; Halter, Mary; Grant, Robert L.; Brearley, Sally; Joly, Louise; Gage, Heather; de Lusignan, Simon; Gabe, Jonathan; Carneiro, Wilfred.

In: British Journal of General Practice, Vol. 65 , No. 634, 01.05.2015, p. e344-e350.

Research output: Contribution to journalArticle

Published

Standard

Physician associates and GPs in primary care : a comparison. / Drennan, Vari M.; Halter, Mary; Grant, Robert L.; Brearley, Sally; Joly, Louise; Gage, Heather; de Lusignan, Simon; Gabe, Jonathan; Carneiro, Wilfred.

In: British Journal of General Practice, Vol. 65 , No. 634, 01.05.2015, p. e344-e350.

Research output: Contribution to journalArticle

Harvard

Drennan, VM, Halter, M, Grant, RL, Brearley, S, Joly, L, Gage, H, de Lusignan, S, Gabe, J & Carneiro, W 2015, 'Physician associates and GPs in primary care: a comparison', British Journal of General Practice, vol. 65 , no. 634, pp. e344-e350. https://doi.org/10.3399/bjgp15X684877

APA

Drennan, V. M., Halter, M., Grant, R. L., Brearley, S., Joly, L., Gage, H., de Lusignan, S., Gabe, J., & Carneiro, W. (2015). Physician associates and GPs in primary care: a comparison. British Journal of General Practice, 65 (634), e344-e350. https://doi.org/10.3399/bjgp15X684877

Vancouver

Drennan VM, Halter M, Grant RL, Brearley S, Joly L, Gage H et al. Physician associates and GPs in primary care: a comparison. British Journal of General Practice. 2015 May 1;65 (634):e344-e350. https://doi.org/10.3399/bjgp15X684877

Author

Drennan, Vari M. ; Halter, Mary ; Grant, Robert L. ; Brearley, Sally ; Joly, Louise ; Gage, Heather ; de Lusignan, Simon ; Gabe, Jonathan ; Carneiro, Wilfred. / Physician associates and GPs in primary care : a comparison. In: British Journal of General Practice. 2015 ; Vol. 65 , No. 634. pp. e344-e350.

BibTeX

@article{44a77051bdab4a41aa176b5b58337dd9,
title = "Physician associates and GPs in primary care: a comparison",
abstract = "Background - Physician associates (PAs) (also known as physician assistants) are new to the NHS and there is little evidence concerning their contribution in general practice.Aim - This study aimed to compare outcomes and costs of same day requested consultations by PAs with those of GPsDesign and setting - an observational study of 2086 patient records presenting at same-day appointments in 12 general practices in England.Method - PA consultations were compared with those of GPs. Primary outcome was re-consultation within 14 days for the same or linked problem. Secondary outcomes were processes of care.Results - There were no significant differences in the rates of re-consultation (rate ratio1.24, 95% confidence interval (CI) = 0.86 to 1.79, P=0.25) There were no differences in rates of diagnostic tests ordered (1.08, 95% CI = 0.89 to 1.30, p=0.44), referrals (0.95, 95% CI = 0.63 to 1.43, p= 0.80), prescriptions issued (1.16, 95% CI = 0.87 to 1.53, p=0.31) or patient satisfaction (1.00, 95% CI = 0.42 to 2.36, p=0.99). Records of initial consultations of 79.2% (n=145) of PAs and 48.3% (n=99) of GPs were judged appropriate by independent GPs (p<0.001). The adjusted average PA consultation was 5.8 minutes longer than GP consultations (95% CI = 2.46 to 7.1, p<0.001), cost per consultation was GBP £6.22. (US$ 10.15 lower (95% CI = -7.61 to -2.46, p=<0.001)Conclusion - The processes and outcomes of PA and GP consultations for same-day appointment patients are similar at a lower consultation cost. PAs offer a potentially acceptable and efficient addition to the general practice workforce. ",
keywords = "general practitioners, observational study, Physician assistants, Physicians, Family, Primary health care",
author = "Drennan, {Vari M.} and Mary Halter and Grant, {Robert L.} and Sally Brearley and Louise Joly and Heather Gage and {de Lusignan}, Simon and Jonathan Gabe and Wilfred Carneiro",
year = "2015",
month = may,
day = "1",
doi = "10.3399/bjgp15X684877",
language = "English",
volume = "65 ",
pages = "e344--e350",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",
number = "634",

}

RIS

TY - JOUR

T1 - Physician associates and GPs in primary care

T2 - a comparison

AU - Drennan, Vari M.

AU - Halter, Mary

AU - Grant, Robert L.

AU - Brearley, Sally

AU - Joly, Louise

AU - Gage, Heather

AU - de Lusignan, Simon

AU - Gabe, Jonathan

AU - Carneiro, Wilfred

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Background - Physician associates (PAs) (also known as physician assistants) are new to the NHS and there is little evidence concerning their contribution in general practice.Aim - This study aimed to compare outcomes and costs of same day requested consultations by PAs with those of GPsDesign and setting - an observational study of 2086 patient records presenting at same-day appointments in 12 general practices in England.Method - PA consultations were compared with those of GPs. Primary outcome was re-consultation within 14 days for the same or linked problem. Secondary outcomes were processes of care.Results - There were no significant differences in the rates of re-consultation (rate ratio1.24, 95% confidence interval (CI) = 0.86 to 1.79, P=0.25) There were no differences in rates of diagnostic tests ordered (1.08, 95% CI = 0.89 to 1.30, p=0.44), referrals (0.95, 95% CI = 0.63 to 1.43, p= 0.80), prescriptions issued (1.16, 95% CI = 0.87 to 1.53, p=0.31) or patient satisfaction (1.00, 95% CI = 0.42 to 2.36, p=0.99). Records of initial consultations of 79.2% (n=145) of PAs and 48.3% (n=99) of GPs were judged appropriate by independent GPs (p<0.001). The adjusted average PA consultation was 5.8 minutes longer than GP consultations (95% CI = 2.46 to 7.1, p<0.001), cost per consultation was GBP £6.22. (US$ 10.15 lower (95% CI = -7.61 to -2.46, p=<0.001)Conclusion - The processes and outcomes of PA and GP consultations for same-day appointment patients are similar at a lower consultation cost. PAs offer a potentially acceptable and efficient addition to the general practice workforce.

AB - Background - Physician associates (PAs) (also known as physician assistants) are new to the NHS and there is little evidence concerning their contribution in general practice.Aim - This study aimed to compare outcomes and costs of same day requested consultations by PAs with those of GPsDesign and setting - an observational study of 2086 patient records presenting at same-day appointments in 12 general practices in England.Method - PA consultations were compared with those of GPs. Primary outcome was re-consultation within 14 days for the same or linked problem. Secondary outcomes were processes of care.Results - There were no significant differences in the rates of re-consultation (rate ratio1.24, 95% confidence interval (CI) = 0.86 to 1.79, P=0.25) There were no differences in rates of diagnostic tests ordered (1.08, 95% CI = 0.89 to 1.30, p=0.44), referrals (0.95, 95% CI = 0.63 to 1.43, p= 0.80), prescriptions issued (1.16, 95% CI = 0.87 to 1.53, p=0.31) or patient satisfaction (1.00, 95% CI = 0.42 to 2.36, p=0.99). Records of initial consultations of 79.2% (n=145) of PAs and 48.3% (n=99) of GPs were judged appropriate by independent GPs (p<0.001). The adjusted average PA consultation was 5.8 minutes longer than GP consultations (95% CI = 2.46 to 7.1, p<0.001), cost per consultation was GBP £6.22. (US$ 10.15 lower (95% CI = -7.61 to -2.46, p=<0.001)Conclusion - The processes and outcomes of PA and GP consultations for same-day appointment patients are similar at a lower consultation cost. PAs offer a potentially acceptable and efficient addition to the general practice workforce.

KW - general practitioners

KW - observational study

KW - Physician assistants

KW - Physicians

KW - Family

KW - Primary health care

U2 - 10.3399/bjgp15X684877

DO - 10.3399/bjgp15X684877

M3 - Article

VL - 65

SP - e344-e350

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

IS - 634

ER -