Nichols A W
J Fam Pract. 1980 Jul;11(1):101-8.
The process of Physician Extender authorization through general delegatory and regulatory-authority model legislation in the various states is examined in this paper. In light of past legislative and professional developments, the likelihood of independent practice patterns emerging among both nurse practitioners and physicians's assistants is assessed. It is concluded that current trends in physician manpower supply and distribution make the establishment of a physician extender group serving in competition with primary care physicians unlikely at this time. Rather, it is more likely that a clearly defined role may be established either in the employer/employee setting or through a position quite distinct from that of the primary care physician. Physician extenders functioning in this more independent role could contract with primary care and other physicians for their services without engendering economic competition for patient services.
本文探讨了通过各州的一般委托和监管机构模式立法来实现医师助理授权的过程。鉴于过去的立法和专业发展情况，评估了执业护士和医师助理中出现独立执业模式的可能性。得出的结论是，目前医师人力供应和分布的趋势使得此时建立一个与初级保健医师竞争的医师助理群体不太可能。相反，更有可能在雇主/雇员环境中或通过与初级保健医师截然不同的职位来确立一个明确界定的角色。以这种更独立角色发挥作用的医师助理可以与初级保健医师及其他医师就其服务签订合同，而不会引发对患者服务的经济竞争。
