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Biomedical subjects

P A Repicky

Publications and source records attributed to P A Repicky.

6 recordsLinked to original sources
PubMed1982

The professional role of physician's assistants in adult ambulatory care practices.

This article describes the methodology and findings of a national survey of Physician's Assistants (PAs) in adult, ambulatory care practices. Data on patient care roles and other professional activities were collected for a three-day period via a comprehensive self-reporting, log-diary instrument. Completing the instrument were 356 (50.4%) PAs. Survey results address the following questions: What is the typical work week for PAs? How do PAs allocate their time in a professional day? What direct patient care services do PAs provide? How productive are PAs with respect to number of patients seen and dollar income generated? In general, the data are consistent with the PA role model of a primary health care professional who provides basic health care services with an emphasis on patient counseling and disease prevention.

Ambulatory Care↗
PubMed1980

Assessing the utilization and productivity of nurse practitioners and physician's assistants: methodology and findings on productivity.

This article describes the research design, survey instrument and methodology employed in a national study to assess the utilization and productivity of nurse practitioners and physician assistants (NP/PAs) in primary care settings. All practices (N = 455) used in the study employed formally trained NP/PAs who treated, or were eligible to treate, Medicare patients on an outpatient basis, and included a general practitioner, family practitioner or a general internist as the supervising physician. A matched group of comparison practices were subject to the same eligibility criteria except that they did not employ NP/PAs. A comprehensive diary-type instrument focusing on patient care was used to collect detailed data on each practitioner's daly professional activities. Data are presented on the productivity of NPs, PAs and physicians as measured by seven basic variables related to patient volume, time in patient care and revenue generated. Numerous inter- and intraspecialty comparisons were made across various practice arrangements and across location variables such as rural vs. urban, remote vs. nonremote, and health care resource areas. Interpretations of the data indicate clearly that PAs are considerably more productive than NPs. However, although NPs spend more time with individual patients, the cause of this differential productivity was not revealed.

Delivery of Health Care↗
PubMed1978

A national study of medical and surgical specialties. II. Description of the survey instrument.

The survey instrument used in the national study of physician activities conducted by the University of Southern California, Division of Research in Medical Education, is a log-diary in which physicians kept a record of their actual professional activities. The log-diary focused on use of physician time and patient encounters and employed numerical coding of activities and patient encounters in a highly structured format. Compared with instruments used in similar studies, this log-diary appears to gather a greater breadth and depth of information about physician practice patterns.

California↗