Primary care workforce paradox
Authors:
- 16 September 2021
- journal article
- research article
- Published by Wolters Kluwer Health in JAAPA
- Vol. 34 (10) , 39-42
Abstract
Objective: Primary care workforce projections continue to predict significant physician shortages. An oversupply of primary care physician assistants (PAs) and NPs also is predicted. This paradox calls into question the assumptions that underlie workforce projection models, which likely underestimate the primary care contributions of PAs and NPs. Methods: Federally qualified health center data from the 2016-2019 Uniform Data System were used to calculate the number of clinic visits per full-time equivalent (FTE) physician, PA, and NP. Visits per FTE were compared across provider type to determine provider-specific productivity ratios. Results: The combined PA and NP productivity ratio increased relative to physicians in each year, ranging from 0.85 in 2016 to 0.88 in 2019. Clinic visits per FTE for PAs and family physicians were nearly equivalent. Conclusions: Primary care workforce projection models should be reexamined to more accurately capture the productivity of PAs and NPs.Keywords
This publication has 11 references indexed in Scilit:
- A Comparison of Nurse Practitioners, Physician Assistants, and Primary Care Physicians’ Patterns of Practice and Quality of Care in Health CentersMedical Care, 2017
- Are we facing a physician assistant surplus?JAAPA, 2016
- Characteristics of nurse practitioners and physician assistants in the United StatesJournal of the American Association of Nurse Practitioners, 2016
- Nurse practitioners, physician assistants, and physicians in community health centers, 2006–2010Healthcare, 2015
- Community Health Centers Employ Diverse Staffing Patterns, Which Can Provide Productivity Lessons For Medical PracticesHealth Affairs, 2015
- Primary Care: Proposed Solutions To The Physician Shortage Without Training More PhysiciansHealth Affairs, 2013
- Division of Primary Care Services Between Physicians, Physician Assistants, and Nurse Practitioners for Older Patients With DiabetesMedical Care Research and Review, 2013
- Primary Care Physician Shortages Could Be Eliminated Through Use Of Teams, Nonphysicians, And Electronic CommunicationHealth Affairs, 2013
- Impact of Physician Assistant Care on Office Visit Resource Use in the United StatesHealth Services Research, 2008
- Use Of Physician Assistants And Nurse Practitioners In Primary Care, 1995–1999Health Affairs, 2001