Physician Assistant and Nurse Practitioner Prescribing: 1997-2002
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| Title: | Physician Assistant and Nurse Practitioner Prescribing: 1997-2002 |
|---|---|
| Language: | English |
| Authors: | Hooker, Roderick S., Cipher, Daisha J. |
| Source: | Journal of Rural Health. Oct 2005 21(4):355-360. |
| Availability: | Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp |
| Peer Reviewed: | Y |
| Page Count: | 6 |
| Publication Date: | 2005 |
| Document Type: | Journal Articles Reports - Descriptive |
| Descriptors: | Patients, Physicians, Medical Services, Rural Areas, Nurses, Allied Health Occupations, Urban Areas, Metropolitan Areas, Drug Therapy |
| DOI: | 10.1111/j.1748-0361.2005.tb00107.x |
| ISSN: | 0890-765X |
| Abstract: | Context: Physician assistants (PAs) and nurse practitioners (NPs) have licensure to practice in all states and they have prescriptive authority in 47 and 40 states, respectively. However, there have been no published studies from a national standpoint comparing urban and rural settings. Purpose: The objective of this study was to describe the characteristics of providers, patients, and the type of prescriptions written by PAs and NPs and to compare these activities to those of physicians in metropolitan and nonmetropolitan settings. Methods: The National Ambulatory Medical Care Survey was used to analyze a representative sample of 149,202 visits to primary care physician offices over a 6-year period (1997-2002) in which a prescription was written by a PA, NP or physician. Results: A PA or NP was the provider of record for 3% of the primary care visits. The 3 providers wrote prescriptions for 60% to 70% of all visits, and the mean number of prescriptions was 1.3 to 1.5 per visit (range 0-5), depending on the provider. PAs were more likely to prescribe a controlled substance than were physicians or NPs (19.5%, 12.4%, 10.9% respectively). Only in rural areas did differences emerge. In rural areas, NPs wrote significantly more prescriptions than physicians and PAs, and PAs wrote significantly fewer prescriptions than the other providers. Conclusions: Overall, PAs and NPs are prescribing in a manner similar to physicians in the type of medications used in their patient management. In nonmetropolitan areas, prescribing differences among the 3 types of providers bear further exploration. |
| Abstractor: | Author |
| Entry Date: | 2007 |
| Accession Number: | EJ748894 |
| Database: | ERIC |
| FullText | Text: Availability: 0 |
|---|---|
| Header | DbId: eric DbLabel: ERIC An: EJ748894 AccessLevel: 3 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Physician Assistant and Nurse Practitioner Prescribing: 1997-2002 – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hooker%2C+Roderick+S%2E%22">Hooker, Roderick S.</searchLink><br /><searchLink fieldCode="AR" term="%22Cipher%2C+Daisha+J%2E%22">Cipher, Daisha J.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22Journal+of+Rural+Health%22"><i>Journal of Rural Health</i></searchLink>. Oct 2005 21(4):355-360. – Name: Avail Label: Availability Group: Avail Data: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 6 – Name: DatePubCY Label: Publication Date Group: Date Data: 2005 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Reports - Descriptive – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians%22">Physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+Services%22">Medical Services</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+Areas%22">Rural Areas</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Allied+Health+Occupations%22">Allied Health Occupations</searchLink><br /><searchLink fieldCode="DE" term="%22Urban+Areas%22">Urban Areas</searchLink><br /><searchLink fieldCode="DE" term="%22Metropolitan+Areas%22">Metropolitan Areas</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Therapy%22">Drug Therapy</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1111/j.1748-0361.2005.tb00107.x – Name: ISSN Label: ISSN Group: ISSN Data: 0890-765X – Name: Abstract Label: Abstract Group: Ab Data: Context: Physician assistants (PAs) and nurse practitioners (NPs) have licensure to practice in all states and they have prescriptive authority in 47 and 40 states, respectively. However, there have been no published studies from a national standpoint comparing urban and rural settings. Purpose: The objective of this study was to describe the characteristics of providers, patients, and the type of prescriptions written by PAs and NPs and to compare these activities to those of physicians in metropolitan and nonmetropolitan settings. Methods: The National Ambulatory Medical Care Survey was used to analyze a representative sample of 149,202 visits to primary care physician offices over a 6-year period (1997-2002) in which a prescription was written by a PA, NP or physician. Results: A PA or NP was the provider of record for 3% of the primary care visits. The 3 providers wrote prescriptions for 60% to 70% of all visits, and the mean number of prescriptions was 1.3 to 1.5 per visit (range 0-5), depending on the provider. PAs were more likely to prescribe a controlled substance than were physicians or NPs (19.5%, 12.4%, 10.9% respectively). Only in rural areas did differences emerge. In rural areas, NPs wrote significantly more prescriptions than physicians and PAs, and PAs wrote significantly fewer prescriptions than the other providers. Conclusions: Overall, PAs and NPs are prescribing in a manner similar to physicians in the type of medications used in their patient management. In nonmetropolitan areas, prescribing differences among the 3 types of providers bear further exploration. – Name: AbstractInfo Label: Abstractor Group: Ab Data: Author – Name: DateEntry Label: Entry Date Group: Date Data: 2007 – Name: AN Label: Accession Number Group: ID Data: EJ748894 |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ748894 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1748-0361.2005.tb00107.x Languages: – Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 355 Subjects: – SubjectFull: Patients Type: general – SubjectFull: Physicians Type: general – SubjectFull: Medical Services Type: general – SubjectFull: Rural Areas Type: general – SubjectFull: Nurses Type: general – SubjectFull: Allied Health Occupations Type: general – SubjectFull: Urban Areas Type: general – SubjectFull: Metropolitan Areas Type: general – SubjectFull: Drug Therapy Type: general Titles: – TitleFull: Physician Assistant and Nurse Practitioner Prescribing: 1997-2002 Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hooker, Roderick S. – PersonEntity: Name: NameFull: Cipher, Daisha J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Type: published Y: 2005 Identifiers: – Type: issn-print Value: 0890-765X Numbering: – Type: volume Value: 21 – Type: issue Value: 4 Titles: – TitleFull: Journal of Rural Health Type: main |
| ResultId | 1 |
