医师助理或执业护士在哪些州更有可能从事初级保健工作？
In which states are physician assistants or nurse practitioners more likely to work in primary care?
作者信息
Hing Esther, Hsiao Chun-Ju
机构信息
Esther Hing is a survey statistician with the CDC's National Center for Health Statistics, Division of Health Care Statistics, in Hyattsville, Md. At the time this study was done, Chun-Ju Hsiao was a health scientist at the National Center for Health Statistics. He now is a health scientist administrator with the Agency for Healthcare Research and Quality's Center for Quality Improvement and Patient Safety in Rockville, Md. The findings and conclusions in this article are those of the authors and do not necessarily represent the views of the CDC the Agency for Healthcare Research and Quality.
出版信息
JAAPA. 2015 Sep;28(9):46-53. doi: 10.1097/01.JAA.0000470436.69199.45.
OBJECTIVE
Examine availability of physician assistants (PAs) or nurse practitioners (NPs) in primary care physician practices by state and by state PA and NP scope-of-practice laws.
METHODS
Availability of PAs and NPs in primary care practices was examined in multivariate analysis using a 2012 state-based, nationally representative survey of office-based physicians. Covariates included practice characteristics, state, and in a separate model, PA and NP scope-of-practice variables.
RESULTS
After controlling for practice characteristics, higher use of PAs and NPs was found in three states (Minnesota, Montana, and South Dakota). In a separate model, higher use of PAs or NPs was associated with favorable PA scope-of-practice laws, but not with NP scope-of-practice laws.
CONCLUSIONS
Higher availability of PAs or NPs was associated with favorable PA scope-of-practice laws. Lack of association between PA or NP availability and NP scope-of-practice laws requires further investigation.
目的
按州以及州医师助理（PA）和执业护士（NP）的执业范围法律，研究初级保健医师诊所中医师助理或执业护士的可获得性。
方法
使用2012年基于州的、具有全国代表性的门诊医师调查，在多变量分析中研究初级保健诊所中医师助理和执业护士的可获得性。协变量包括执业特征、州，以及在一个单独模型中的医师助理和执业护士执业范围变量。
结果
在控制了执业特征后，发现三个州（明尼苏达州、蒙大拿州和南达科他州）对医师助理和执业护士的使用频率更高。在一个单独模型中，对医师助理或执业护士的较高使用频率与有利的医师助理执业范围法律相关，但与执业护士执业范围法律无关。
结论
医师助理或执业护士的较高可获得性与有利的医师助理执业范围法律相关。医师助理或执业护士的可获得性与执业护士执业范围法律之间缺乏关联需要进一步调查。
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