American Society of Clinical Oncology; American Academy of PAs, Alexandria, VA; University of Texas MD Anderson Cancer Center, Houston, TX; Ballad Health, Kingsport, TN; Fox Chase Cancer Center, Philadelphia, PA; University of Pittsburgh, Pittsburgh; Fox Chase Cancer Center, Philadelphia, PA; Memorial Sloan Kettering Cancer Center, New York, NY; Advanced Practitioner Society for Hematology and Oncology, Lawrenceville, NJ; Scripps Clinic, La Jolla, CA; and Spectrum Health Systems, Grand Rapids, MI.
J Oncol Pract. 2018 Sep;14(9):e518-e532. doi: 10.1200/JOP.18.00181. Epub 2018 Aug 22.
Advanced practice providers (APPs, which include nurse practitioners [NPs] and physician assistants [PAs]) are integral members of oncology teams. This study aims first to identify all oncology APPs and, second, to understand personal and practice characteristics (including compensation) of those APPs.
We identified APPs who practice oncology from membership and claims data. We surveyed 3,055 APPs about their roles in clinical care.
We identified at least 5,350 APPs in oncology and an additional 5,400 who might practice oncology. Survey respondents totaled 577, which provided a 19% response rate. Results focused on 540 NPs and PAs. Greater than 90% reported satisfaction with career choice. Respondents identified predominately as white (89%) and female (94%). NPs and PAs spent the majority (80%) of time in direct patient care. The top four patient care activities were patient counseling (NPs, 94%; PAs, 98%), prescribing (NPs, 93%; PAs, 97%), treatment management (NPs, 89%; PAs, 93%), and follow-up visits (NPs, 81%; PAs, 86%). A majority of all APPs reported both independent and shared visits (65% hematology/oncology/survivorship/prevention/pediatric hematology/oncology; 85% surgical/gynecologic oncology; 78% radiation oncology). A minority of APPs reported that they conducted only shared visits. Average annual compensation was between $113,000 and $115,000, which is approximately $10,000 higher than average pay for nononcology APPs.
We identified 5,350 oncology APPs and conclude that number may be as high as 7,000. Survey results suggest that practices that incorporate APPs routinely rely on them for patient care. Given the increasing number of patients with and survivors of cancer, APPs are important to ensure access to quality cancer care now and in the future.
高级执业医师（APP，包括护士从业者[NP]和医师助理[PA]）是肿瘤学团队的重要成员。本研究旨在首先确定所有的肿瘤学 APP，并其次了解这些 APP 的个人和实践特征（包括薪酬）。
我们从成员和索赔数据中确定了从事肿瘤学的 APP。我们调查了 3055 名 APP，了解他们在临床护理中的角色。
我们确定了至少 5350 名从事肿瘤学的 APP，另外还有 5400 名可能从事肿瘤学的 APP。调查的应答者共计 577 人，响应率为 19%。结果集中在 540 名 NP 和 PA 上。超过 90%的人对职业选择表示满意。应答者主要为白人（89%）和女性（94%）。NP 和 PA 花费了大部分（80%）的时间直接进行患者护理。前四项患者护理活动是患者咨询（NP，94%；PA，98%）、开处方（NP，93%；PA，97%）、治疗管理（NP，89%；PA，93%）和随访（NP，81%；PA，86%）。大多数 APP 报告既有独立访问又有共享访问（65%血液学/肿瘤学/生存/预防/儿科血液学/肿瘤学；85%外科/妇科肿瘤学；78%放射肿瘤学）。少数 APP 报告他们仅进行共享访问。平均年薪在 113000 美元至 115000 美元之间，比非肿瘤学 APP 的平均薪酬高出约 10000 美元。
我们确定了 5350 名肿瘤学 APP，并得出结论，这个数字可能高达 7000 人。调查结果表明，那些采用 APP 的实践通常依赖于 APP 进行患者护理。鉴于越来越多的癌症患者和幸存者，APP 对于确保现在和未来获得高质量的癌症护理至关重要。
