Understanding the role of advanced practice providers in oncology in the United States.
JAAPA
; 31(12): 1-12, 2018 Dec.
Article
in En
| MEDLINE
| ID: mdl-30489397
ABSTRACT
PURPOSE:
Advanced practice providers (APPs, which include NPs and physician assistants [PAs]) are integral members of oncology teams. This study aims first to identify all APPs in oncology and, second, to understand personal and practice characteristics (including compensation) of those APPs.METHODS:
We identified APPs who practice oncology from membership and claims data. We surveyed 3,055 APPs about their roles in clinical care.RESULTS:
We identified at least 5,350 APPs in oncology and an additional 5,400 who might practice oncology. Survey respondents totaled 577 out of 3,055, which provided a 19% response rate. Results focused on 540 NPs and PAs. Greater than 90% reported satisfaction with career choice. Respondents identified predominately as white (89%) and female (94%). NPs and PAs spent the majority (80%) of time in direct patient care. The top four patient care activities were patient counseling (NPs, 94%; PAs, 98%), prescribing (NPs, 93%; PAs, 97%), treatment management (NPs, 89%; PAs, 93%), and follow-up visits (NPs, 81%; PAs, 86%). A majority of all APPs reported both independent and shared visits (65% hematology/oncology/survivorship/prevention/pediatric hematology/oncology; 85% surgical/gynecologic oncology; 78% radiation oncology). A minority of APPs reported that they conducted only shared visits. Average annual compensation was between $113,000 and $115,000, which is about $10,000 higher than average pay for APPs not in oncology.CONCLUSION:
We identified 5,350 APPs in oncology and conclude that number may be as high as 7,000. Survey results suggest that practices that incorporate APPs routinely rely on them for patient care. Given the increasing number of patients with and survivors of cancer, APPs are important to ensure access to quality cancer care now and in the future.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Care Team
/
Physician Assistants
/
Health Personnel
/
Professional Role
/
Oncologists
/
Patient Care
/
Medical Oncology
/
Nurse Practitioners
Type of study:
Prognostic_studies
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
JAAPA
Journal subject:
MEDICINA
Year:
2018
Document type:
Article
Affiliation country:
Greece