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      The impact of the implementation of physician assistants in inpatient care: a multicenter matched-controlled study

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      Creators
      Timmermans, M
      Laurant, M.G.H.
      Date of Archiving
      2017
      Archive
      DANS EASY
      Related links
      https://easy.dans.knaw.nl/ui/rest/datasets/easy-dataset:71002
      DOI
      https://doi.org/10.17026/dans-zwb-87ha
      Publication type
      Dataset
      Access level
      Open access
      Please use this identifier to cite or link to this item: https://hdl.handle.net/2066/226418   https://hdl.handle.net/2066/226418
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      Organization
      IQ Healthcare
      Audience(s)
      Health sciences
      Key words
      Medicine; health quality; 2012-2016
      Abstract
      Medical care for admitted patients is increasingly reallocated to physician assistants (PAs), because of an increased appreciation of continuity of care, pressure to deliver healthcare efficiently, and local shortages of medical doctors (MDs). A PA is a non-physician healthcare professional licensed to practice medicine in defined domains, with variable degrees of professional autonomy. PAs who are employed for medical care for admitted patients usually work in a team compromising both PAs and MDs (i.e. residents, staff physicians or hospitalists). Although there is a worldwide trend of an increase of PAs in the management of hospitalized patients, evidence about the consequences of reallocating inpatient care from MDs to PAs for healthcare outcomes is limited. This study aimed to determine the effects of substitution of inpatient care from MDs to PAs on patients’ lenght of stay, quality and safety of care, patient experiences and costs. Also the impact on guideline adherence on medication prescribing has been investigated. In a multicenter matched-controlled study, the traditional model in which only MDs are employed for inpatient care was compared with a mixed model in which besides MDs also PAs are employed. Thirty-four wards were recruited across the Netherlands. Patients were followed from admission till one month after discharge. In total, 2,307 patients were included
      This item appears in the following Collection(s)
      • Datasets [1485]
      • Faculty of Medical Sciences [87745]
       
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