Department of Health Systems Management, Ariel University, Ariel, Israel.
, 15917 NE Union Rd, Unit 45, Ridgefield, WA, 98642-8706, USA.
J Community Health. 2020 Dec;45(6):1283-1290. doi: 10.1007/s10900-020-00835-7.
Are Israelis willing to be seen by a physician assistant (PA) instead of a doctor if they can save time? PAs were introduced into Israel emergency departments 2 years prior to this study and few if any knew about them. A survey containing a series of scenarios involving hypothetical injuries was electronically distributed in 2019; over 7000 Israeli citizens responded. They were asked to choose between seeing a PA within half an hour or waiting for a doctor (MD) in 4 h. Over 90% of the respondents chose the PA and preferences changed slightly as the time gap narrowed to 2 h. A large majority picked the PA in all three scenarios. Parsing the respondents by age, gender, and health conditions revealed little statistical differences. There was a positive correlation between the perceived urgency of the situation and choosing the PA as respondents were more likely to see a PA in more stressful scenarios (e.g., a child's head laceration). These results suggest that most Israelis would be willing to accept care from a healthcare provider, in this case the PA, who is not a doctor, if they sense value added in the encounter, such as quicker access to care.
如果可以节省时间，以色列人愿意让医师助理 (PA) 而不是医生看病吗？在这项研究之前的 2 年，PA 就被引入以色列急诊室，但很少有人了解他们。2019 年，一项包含一系列涉及假设伤害场景的调查通过电子方式分发；超过 7000 名以色列公民做出了回应。他们被要求在半小时内看 PA 还是在 4 小时内看医生 (MD) 之间做出选择。超过 90%的受访者选择了 PA，随着时间差距缩小到 2 小时，偏好略有变化。大多数人在所有三个场景中都选择了 PA。按年龄、性别和健康状况对受访者进行细分，几乎没有统计学差异。情况的紧迫性与选择 PA 之间存在正相关，因为受访者在压力更大的情况下更有可能选择 PA（例如，孩子的头部裂伤）。这些结果表明，如果以色列人认为在就诊过程中会有附加值，例如更快地获得治疗，他们很可能会接受医疗保健提供者（在这种情况下是 PA）的治疗，而不是医生。
