Factors influencing decision of general practitioners and managers to train and employ a nurse practitioner or physician assistant in primary care: a qualitative study
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- 作者：Mieke van der Biezen ; Emmy Derckx ; Michel Wensing ; Miranda Laurant
- 关键词：Substitution ; Supplementation ; Skill mix ; General practitioner ; Nurse practitioner ; Physician assistant ; Primary care ; Implementation
- 刊名：BMC Family Practice
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：18
- 期：1
- 全文大小：556KB
- 刊物主题：General Practice / Family Medicine; Primary Care Medicine;
- 出版者：BioMed Central
- ISSN：1471-2296
- 卷排序：18
文摘
BackgroundDue to the increasing demand on primary care, it is not only debated whether there are enough general practitioners (GPs) to comply with these demands but also whether specific tasks can be performed by other care providers. Although changing the workforce skill mix care by employing Physician Assistants (PAs) and Nurse Practitioners (NPs) has proven to be both effective and safe, the implementation of those professionals differs widely between and within countries. To support policy making regarding PAs/NPs in primary care, the aim of this study is to provide insight into factors influencing the decision of GPs and managers to train and employ a PA/NP within their organisation.