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Autor/inn/enHill, Robert; und weitere
TitelThe Physician's Assistant in a Rural Satellite Clinic: Report on an Evaluative Case Study of Utilization, Acceptance and Economics.
Quelle(1975), (25 Seiten)
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Dokumenttypgedruckt; online; Monographie
SchlagwörterClinics; Costs; Evaluation; Followup Studies; Medical Evaluation; Medical Services; Models; Participant Satisfaction; Physicians Assistants; Primary Health Care; Rural Areas; State Federal Aid; Tables (Data); Oklahoma
AbstractIn an effort to mitigate the maldistribution of U.S. physicians, a rural satellite clinic was established in 1973 to serve the 1,239 citizens of Yale, Oklahoma. The clinic was manned by a graduate of the two year Physician's Associate program at the University of Oklahoma who was under the supervision and employ of a pediatrician located 20 miles away. Initially, half of a 20 percent randomly selected sample were personally interviewed to ascertain perceptions and expectations relative to the new clinic. One year later a follow-up study, utilizing the entire sample of 104 households, was conducted to determine patterns of correlates of acceptance and utilization. Concurrently, all clinic records were compiled, tabulated, and analyzed in terms of patient diagnosis, treatment, consultation, age, sex, and fee charged and in terms of clinic costs and revenues. It was concluded that the satellite model was medically feasible. Utilization patterns fell within the expectations of a primary care clinic; patient acceptance was highly favorable; and the physician's assistant operated in the appropriate dependency relationship with his physician employer. However, economic feasibility was not deemed secure under present Federal/State regulations governing physician's assistants. (JC)
Erfasst vonERIC (Education Resources Information Center), Washington, DC
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