• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of pubhealthrepLink to Publisher's site
Public Health Rep. 1998 Jan-Feb; 113(1): 75–82.
PMCID: PMC1308372

Physician assistants and nurse practitioners in hospital outpatient departments, 1993-1994.


OBJECTIVE: To describe the characteristics of visits to physician assistants (PAs) and nurse practitioners (NPs) in hospital outpatient departments in the United States. METHODS: Data from the 1993 and 1994 National Hospital Ambulatory Medical Care Surveys were used to compare hospital outpatient department visits in which the patient was seen by a PA or NP, or both, with outpatient visits to all practitioners. RESULTS: An average of 64 million annual outpatient visits were made in 1993-1994, and patients were seen by PAs, NPs, or both, at 8% of these visits. PA-NP visits were more likely than total visits to occur in the Midwest, in non-urban areas, and in obstetric-gynecology clinics, and a higher proportion involved patients younger than age 25. Smaller differences were found between PA-NP visits and total outpatient visits in "reason for visit," "principal diagnosis," and "medication prescribed." CONCLUSION: Beyond the care they provide in physicians' offices and other non-hospital settings, PAs and NPs make an important contribution to ambulatory health care delivery in hospital outpatient departments.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (4.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kindig DA, Libby D. How will graduate medical education reform affect specialties and geographic areas? JAMA. 1994 Jul 6;272(1):37–42. [PubMed]
  • Kassirer JP. Redesigning graduate medical education -- location and content. N Engl J Med. 1996 Aug 15;335(7):507–509. [PubMed]
  • Sekscenski ES, Sansom S, Bazell C, Salmon ME, Mullan F. State practice environments and the supply of physician assistants, nurse practitioners, and certified nurse-midwives. N Engl J Med. 1994 Nov 10;331(19):1266–1271. [PubMed]
  • Riportella-Muller R, Libby D, Kindig D. The substitution of physician assistants and nurse practitioners for physician residents in teaching hospitals. Health Aff (Millwood) 1995 Summer;14(2):181–191. [PubMed]

Articles from Public Health Reports are provided here courtesy of Association of Schools of Public Health


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...