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Commission to Build a Healthier America June Meeting Agenda
This is the agenda for the June 19, 2013 RWJF Commission to Build a Healthier America public meeting.
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Nurse Practitioners and Physicians Assistants Handle Same Acute Care Activities as Doctors
Integration of mid-level practitioners into acute care hospitals
In 1995 and 1996, the University of Pittsburgh School of Nursing compared the activities of midlevel practitioners, such as nurse practitioners and physician's assistants, with the activities of resident physicians.
The project was part of the Robert Wood Johnson Foundation (RWJF) national program Generalist Provider Research Initiative.
Key Findings: The researchers reported these key results in the American Journal of Critical Care:
- Physicians scored significantly higher than midlevel practitioners on the number of hours worked and number of patients cared for.
- Midlevel practitioners scored significantly higher than physicians in discussing the patient with a registered nurse and time spent interacting with the patient's family.
- There were no significant differences between midlevel practitioners and physicians in seven clinical outcomes measured, including length of stay and in-hospital mortality.
- Physicians cared for more of the older, sicker patients.
Generalist Provider Research Initiative Project Results
Individual project results from the RWJF national program, Generalist Provider Research Initiative
Read the Program Results for Generalist Provider Research Initiative View all