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The patients’ perspective of physician associates in primary care in England: a qualitative study

Halter, MF, Drennan, VM, Joly, LM, Gabe, J, Gage, Heather and de Lusignan, Simon (2017) The patients’ perspective of physician associates in primary care in England: a qualitative study Health Expectations.

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Abstract

Background: Physician Associates are new to English general practice and set to expand in numbers. Objective: To investigate the patients’ perspective on consulting with PAs in general practice. Design: A qualitative study, using semi structured interviews, with thematic analysis. Setting and participants: Thirty volunteer patients of 430 who had consulted PAs for a same day appointment and had returned a satisfaction survey, in six general practices employing physician associates in England. Findings: Some participants only consulted once with a physician associate and others more frequently. The conditions consulted for ranged from minor illnesses to those requiring immediate hospital admission. Understanding the role of the physician associate varied from: certain and correct, to uncertain, to certain and incorrect, where the patient believed the physician associate to be a doctor. Most, but not all, reported positive experiences and outcomes of their consultation, with some choosing to consult the physician. Those with negative experiences described problems when the limits of the role was reached, requiring additional GP consultations or prescription delay. Trust and confidence in the physician associate was derived from trust in the NHS, the general practice and the individual physician associate. Willingness to consult a physician associate was contingent on the patient’s assessment of the severity or complexity of the problem and the desire for provider continuity. Conclusion: Patients saw PAs as an appropriate general practitioner substitute. Patients’ experience could inform delivery redesign.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
NameEmailORCID
Halter, MFUNSPECIFIEDUNSPECIFIED
Drennan, VMUNSPECIFIEDUNSPECIFIED
Joly, LMUNSPECIFIEDUNSPECIFIED
Gabe, JUNSPECIFIEDUNSPECIFIED
Gage, HeatherH.Gage@surrey.ac.ukUNSPECIFIED
de Lusignan, SimonS.Lusignan@surrey.ac.ukUNSPECIFIED
Date : 28 August 2017
Copyright Disclaimer : Copyright 2017 The Authors. Published by Wile under the terms of the Creative Commons Attribution License.
Uncontrolled Keywords : physician associates; Physician Assistants, Patient Satisfaction, Patient Acceptance of Health Care, Primary Health Care, General Practice
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 28 Feb 2017 15:08
Last Modified : 31 Oct 2017 19:09
URI: http://epubs.surrey.ac.uk/id/eprint/813646

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