Loading…

The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites

Nineteen practice sites in Iowa were studied to determine the differences in the types of physician (MD) supervision the physician assistant (PA) received at work at satellite (separate from the major practice site of the supervising MD) and non-satellite practice sites. The MDs supervised PA functi...

Full description

Saved in:

Bibliographic Details
Published in:	Medical care 1979-08, Vol.17 (8), p.787-795
Main Authors:	Ekwo, Edem, Daniels, Marvel, Oliver, Denis, Fethke, Carol
Format:	Article
Language:	English
Subjects:	Artificial satellites Clinical Competence Data collection Family practice Iowa Medical practice Medically Underserved Area Patient assessment Patient care Pediatrics Physician Assistants - statistics & numerical data Physicians Primary Health Care Quality of Health Care Referral and Consultation Rural Health Symptoms Time Factors Workforce
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

cited_by
cites
container_end_page	795
container_issue	8
container_start_page	787
container_title	Medical care
container_volume	17
creator	Ekwo, Edem Daniels, Marvel Oliver, Denis Fethke, Carol
description	Nineteen practice sites in Iowa were studied to determine the differences in the types of physician (MD) supervision the physician assistant (PA) received at work at satellite (separate from the major practice site of the supervising MD) and non-satellite practice sites. The MDs supervised PA functions in 12.9 per cent of the patients seen by the PAs at non-satellite and 15.9 per cent of patients they saw at satellite practice sites. All patients with presenting manifestations that suggested life-threatening conditions were seen by MDs at satellite and non-satellite sites. The MD spent 9.2 minutes per patient at satellite clinics, compared to 4.4 minutes per patient at non-satellite clinics. PAs working at satellite sites appeared to receive as much supervision as PAs working at non-satellite clinics.
doi_str_mv	10.1097/00005650-197908000-00001
format	article
fullrecord	<record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_74641570</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>3764279</jstor_id><sourcerecordid>3764279</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2341-89eb5079a38366e17ced2084e0427cff2f323a960cb7f7f0f0f01ef14061a793</originalsourceid><addsrcrecordid>eNp1UctOwzAQtBAISuEL4OATt4AdJ3HCrap4SRUg2rvluhvVJU2K1wH1a_hV3IbXAeyDtbMz-_AQQjk756yQFyycNEtZxAtZsDxE0QbiO6THUyEDnOS7pMdYnEaSyeKAHCIuAkGKNN4neyIXmeyR98kc6ON8jdZYXdMBokWva09tTZ9apyv66OxSuzUdaheYThtvDeDln6JBSL5abwGprme_KON2Be7Vom1qqj0daw9VZT1safdNHf0gXy3oOER4RPZKXSEcf759Mrm-mgxvo9HDzd1wMIpMLBIe5QVM07Cl3qyVAZcGZjHLE2BJLE1ZxqWIhS4yZqaylCXbXA4lT1jGtSxEn5x1ZVeueWkBvVpaNGEiXUPTopJJlvBUskDMO6JxDaKDUq26_1GcqY0x6ssY9W3MFuJBevLZo50uYfYt3DoRskmXfWsqDw6fq_YNnJqDrvxc_ed2kJ12sgX6xv3UlFlYvBAfw7qj8Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>74641570</pqid></control><display><type>article</type><title>The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites</title><source>JSTOR Archival Journals and Primary Sources Collection</source><creator>Ekwo, Edem ; Daniels, Marvel ; Oliver, Denis ; Fethke, Carol</creator><creatorcontrib>Ekwo, Edem ; Daniels, Marvel ; Oliver, Denis ; Fethke, Carol</creatorcontrib><description>Nineteen practice sites in Iowa were studied to determine the differences in the types of physician (MD) supervision the physician assistant (PA) received at work at satellite (separate from the major practice site of the supervising MD) and non-satellite practice sites. The MDs supervised PA functions in 12.9 per cent of the patients seen by the PAs at non-satellite and 15.9 per cent of patients they saw at satellite practice sites. All patients with presenting manifestations that suggested life-threatening conditions were seen by MDs at satellite and non-satellite sites. The MD spent 9.2 minutes per patient at satellite clinics, compared to 4.4 minutes per patient at non-satellite clinics. PAs working at satellite sites appeared to receive as much supervision as PAs working at non-satellite clinics.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-197908000-00001</identifier><identifier>PMID: 38367</identifier><language>eng</language><publisher>United States: J. B. Lippincott Co</publisher><subject>Artificial satellites ; Clinical Competence ; Data collection ; Family practice ; Iowa ; Medical practice ; Medically Underserved Area ; Patient assessment ; Patient care ; Pediatrics ; Physician Assistants - statistics & numerical data ; Physicians ; Primary Health Care ; Quality of Health Care ; Referral and Consultation ; Rural Health ; Symptoms ; Time Factors ; Workforce</subject><ispartof>Medical care, 1979-08, Vol.17 (8), p.787-795</ispartof><rights>Copyright 1979 J. B. Lippincott Co.</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3764279$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3764279$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38367$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ekwo, Edem</creatorcontrib><creatorcontrib>Daniels, Marvel</creatorcontrib><creatorcontrib>Oliver, Denis</creatorcontrib><creatorcontrib>Fethke, Carol</creatorcontrib><title>The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites</title><title>Medical care</title><addtitle>Med Care</addtitle><description>Nineteen practice sites in Iowa were studied to determine the differences in the types of physician (MD) supervision the physician assistant (PA) received at work at satellite (separate from the major practice site of the supervising MD) and non-satellite practice sites. The MDs supervised PA functions in 12.9 per cent of the patients seen by the PAs at non-satellite and 15.9 per cent of patients they saw at satellite practice sites. All patients with presenting manifestations that suggested life-threatening conditions were seen by MDs at satellite and non-satellite sites. The MD spent 9.2 minutes per patient at satellite clinics, compared to 4.4 minutes per patient at non-satellite clinics. PAs working at satellite sites appeared to receive as much supervision as PAs working at non-satellite clinics.</description><subject>Artificial satellites</subject><subject>Clinical Competence</subject><subject>Data collection</subject><subject>Family practice</subject><subject>Iowa</subject><subject>Medical practice</subject><subject>Medically Underserved Area</subject><subject>Patient assessment</subject><subject>Patient care</subject><subject>Pediatrics</subject><subject>Physician Assistants - statistics & numerical data</subject><subject>Physicians</subject><subject>Primary Health Care</subject><subject>Quality of Health Care</subject><subject>Referral and Consultation</subject><subject>Rural Health</subject><subject>Symptoms</subject><subject>Time Factors</subject><subject>Workforce</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1979</creationdate><recordtype>article</recordtype><recordid>eNp1UctOwzAQtBAISuEL4OATt4AdJ3HCrap4SRUg2rvluhvVJU2K1wH1a_hV3IbXAeyDtbMz-_AQQjk756yQFyycNEtZxAtZsDxE0QbiO6THUyEDnOS7pMdYnEaSyeKAHCIuAkGKNN4neyIXmeyR98kc6ON8jdZYXdMBokWva09tTZ9apyv66OxSuzUdaheYThtvDeDln6JBSL5abwGprme_KON2Be7Vom1qqj0daw9VZT1safdNHf0gXy3oOER4RPZKXSEcf759Mrm-mgxvo9HDzd1wMIpMLBIe5QVM07Cl3qyVAZcGZjHLE2BJLE1ZxqWIhS4yZqaylCXbXA4lT1jGtSxEn5x1ZVeueWkBvVpaNGEiXUPTopJJlvBUskDMO6JxDaKDUq26_1GcqY0x6ssY9W3MFuJBevLZo50uYfYt3DoRskmXfWsqDw6fq_YNnJqDrvxc_ed2kJ12sgX6xv3UlFlYvBAfw7qj8Q</recordid><startdate>197908</startdate><enddate>197908</enddate><creator>Ekwo, Edem</creator><creator>Daniels, Marvel</creator><creator>Oliver, Denis</creator><creator>Fethke, Carol</creator><general>J. B. Lippincott Co</general><general>Lippincott-Raven Publishers</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></search><sort><creationdate>197908</creationdate><title>The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites</title><author>Ekwo, Edem ; Daniels, Marvel ; Oliver, Denis ; Fethke, Carol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2341-89eb5079a38366e17ced2084e0427cff2f323a960cb7f7f0f0f01ef14061a793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1979</creationdate><topic>Artificial satellites</topic><topic>Clinical Competence</topic><topic>Data collection</topic><topic>Family practice</topic><topic>Iowa</topic><topic>Medical practice</topic><topic>Medically Underserved Area</topic><topic>Patient assessment</topic><topic>Patient care</topic><topic>Pediatrics</topic><topic>Physician Assistants - statistics & numerical data</topic><topic>Physicians</topic><topic>Primary Health Care</topic><topic>Quality of Health Care</topic><topic>Referral and Consultation</topic><topic>Rural Health</topic><topic>Symptoms</topic><topic>Time Factors</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ekwo, Edem</creatorcontrib><creatorcontrib>Daniels, Marvel</creatorcontrib><creatorcontrib>Oliver, Denis</creatorcontrib><creatorcontrib>Fethke, Carol</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><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ekwo, Edem</au><au>Daniels, Marvel</au><au>Oliver, Denis</au><au>Fethke, Carol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1979-08</date><risdate>1979</risdate><volume>17</volume><issue>8</issue><spage>787</spage><epage>795</epage><pages>787-795</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>Nineteen practice sites in Iowa were studied to determine the differences in the types of physician (MD) supervision the physician assistant (PA) received at work at satellite (separate from the major practice site of the supervising MD) and non-satellite practice sites. The MDs supervised PA functions in 12.9 per cent of the patients seen by the PAs at non-satellite and 15.9 per cent of patients they saw at satellite practice sites. All patients with presenting manifestations that suggested life-threatening conditions were seen by MDs at satellite and non-satellite sites. The MD spent 9.2 minutes per patient at satellite clinics, compared to 4.4 minutes per patient at non-satellite clinics. PAs working at satellite sites appeared to receive as much supervision as PAs working at non-satellite clinics.</abstract><cop>United States</cop><pub>J. B. Lippincott Co</pub><pmid>38367</pmid><doi>10.1097/00005650-197908000-00001</doi><tpages>9</tpages></addata></record>
fulltext	fulltext
identifier	ISSN: 0025-7079
ispartof	Medical care, 1979-08, Vol.17 (8), p.787-795
issn	0025-7079 1537-1948
language	eng
recordid	cdi_proquest_miscellaneous_74641570
source	JSTOR Archival Journals and Primary Sources Collection
subjects	Artificial satellites Clinical Competence Data collection Family practice Iowa Medical practice Medically Underserved Area Patient assessment Patient care Pediatrics Physician Assistants - statistics & numerical data Physicians Primary Health Care Quality of Health Care Referral and Consultation Rural Health Symptoms Time Factors Workforce
title	The Physician Assistant in Rural Primary Care Practices: Physician Assistant Activities and Physician Supervision at Satellite and Non-Satellite Practice Sites
url	http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T04%3A47%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Physician%20Assistant%20in%20Rural%20Primary%20Care%20Practices:%20Physician%20Assistant%20Activities%20and%20Physician%20Supervision%20at%20Satellite%20and%20Non-Satellite%20Practice%20Sites&rft.jtitle=Medical%20care&rft.au=Ekwo,%20Edem&rft.date=1979-08&rft.volume=17&rft.issue=8&rft.spage=787&rft.epage=795&rft.pages=787-795&rft.issn=0025-7079&rft.eissn=1537-1948&rft_id=info:doi/10.1097/00005650-197908000-00001&rft_dat=%3Cjstor_proqu%3E3764279%3C/jstor_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c2341-89eb5079a38366e17ced2084e0427cff2f323a960cb7f7f0f0f01ef14061a793%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=74641570&rft_id=info:pmid/38367&rft_jstor_id=3764279&rfr_iscdi=true