Bruinooge Suanna S, Pickard Todd A, Vogel Wendy, Hanley Amy, Schenkel Caroline, Garrett-Mayer Elizabeth, Tetzlaff Eric, Rosenzweig Margaret, Hylton Heather, Westin Shannon N, Smith Noël, Lynch Conor, Kosty Michael P, Williams Stephanie F
Author affiliations: American Society of Clinical Oncology, Alexandria, Va.; American Academy of PAs, Alexandria, Va.; University of Texas MD Anderson Cancer Center, Houston, Tx.; Ballad Health, Kingsport, Tenn.; Fox Chase Cancer Center, Philadelphia, Pa.; University of Pittsburgh, Pittsburgh, Pa.; Memorial Sloan Kettering Cancer Center, New York, N.Y.; Advanced Practitioner Society for Hematology and Oncology, Lawrenceville, N.J.; Scripps Clinic, LaJolla, Calif.; and Spectrum Health Systems, Grand Rapids, Mich. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2018 Dec;31(12):1-12. doi: 10.1097/01.JAA.0000549592.10756.4a.
Advanced practice providers (APPs, which include NPs and physician assistants [PAs]) are integral members of oncology teams. This study aims first to identify all APPs in oncology 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 out of 3,055, 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 about $10,000 higher than average pay for APPs not in oncology.
We identified 5,350 APPs in oncology 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.
高级执业提供者（APP，包括执业护士[NP]和医师助理[PA]）是肿瘤学团队的重要成员。本研究旨在首先识别肿瘤学领域的所有APP，其次了解这些APP的个人和执业特征（包括薪酬）。
我们从会员和理赔数据中识别从事肿瘤学工作的APP。我们对3055名APP进行了关于他们在临床护理中角色的调查。
我们识别出至少5350名从事肿瘤学工作的APP，另有5400名可能从事肿瘤学工作。在3055名被调查者中，共有577人回复，回复率为19%。结果聚焦于540名NP和PA。超过90%的人表示对职业选择满意。被调查者主要为白人（89%）和女性（94%）。NP和PA大部分时间（80%）用于直接的患者护理。前四项患者护理活动是患者咨询（NP为94%；PA为98%）、开处方（NP为93%；PA为97%）、治疗管理（NP为89%；PA为93%）和随访（NP为81%；PA为86%）。大多数APP都报告了独立和联合问诊情况（血液学/肿瘤学/生存/预防/儿科血液学/肿瘤学为65%；外科/妇科肿瘤学为85%；放射肿瘤学为78%）。少数APP报告他们只进行联合问诊。平均年薪在113,000美元至115,000美元之间，比非肿瘤学领域APP的平均薪酬高出约10,000美元。
我们识别出5350名从事肿瘤学工作的APP，并得出该数字可能高达7000的结论。调查结果表明，常规纳入APP的医疗机构在患者护理方面经常依赖他们。鉴于癌症患者和幸存者的数量不断增加，APP对于确保现在和未来获得优质癌症护理至关重要。
