Accession Number : ADA140994

Title :   Costs, Productivity, and the Utilization of Physicians's Extenders in Air Force Primary Medicine Clinics.

Descriptive Note : Interim rept.,

Corporate Author : RAND CORP SANTA MONICA CA

Personal Author(s) : Buchanan,J ; Hosek,S

PDF Url : ADA140994

Report Date : Jun 1983

Pagination or Media Count : 79

Abstract : This report addresses the question of whether the extensive use of physician's extenders--nonphysicians trained to perform some of the medical and administrative tasks traditionally performed by physicians--in Air Force hospitals is cost-effective. Specifically, it examines the productivity of extenders in outpatient care and the costs of procuring and using extenders. The authors focused on one type of extender, physician's assistants (PAs), who are typically Air Force corpsmen with one year of classroom and one year of clinical training. The general conclusions were the following: In typical Air Force primary adult medicine clinics, PAs can substitute for physicians one-to-one for 80-90 percent of the patients whose problems lie within the PA's expertise. Relying on PAs to perform most of the primary medicine workload is currently cost-effective, and will remain so until the earnings of civilian physicians decrease markedly relative to the earnings of PAs. (Author)

Descriptors :   *Medical personnel, *Air Force personnel, *Physicians, *Medical services, *Hospitals, *Cost effectiveness, Administrative personnel, Medical technicians, Paramedical sciences, Outpatient clinics, Workload, Training

Subject Categories : Economics and Cost Analysis
      Humanities and History
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE