AI Article Synopsis
- The study aimed to implement a new co-management strategy for hospital care using a 3:1 ratio of physician assistants (PAs) to physicians, where physicians oversee all PA patients.
- Results indicated that patients treated under the PA-physician model had a shorter average length of stay (74 hours) compared to those in the physician-only model (83 hours) and a higher percentage of discharges to home.
- Overall, the PA-physician model demonstrated equal or better outcomes in patient care compared to traditional physician-only models, with no significant differences in readmissions or patient satisfaction ratings.
Article Abstract
Objective: We sought to create a novel physician assistant (PA) and physician hospital medicine co-management strategy, employing a 3:1 PA:physician structure, under which the physician oversees all PA patients, but without a separate independent panel.
Methods: This is a retrospective cohort pre-post design, comparing metrics for a traditional physician-only hospitalist model with a PA-physician team model. Outcomes included length of stay (LOS), readmissions, discharge destination, patient satisfaction, and in-hospital mortality.
Results: LOS for patients under the PA-physician model (74 hours) was lower than for the physician-only model (83 hours; P < .001). The PA-physician model team discharged more patients home than to another facility (PA-physician 77.6%, physician-only 74.3%; P = .03). Thirty-day readmissions were about 10% (P = .97) and patients reported respectful treatment in about 80% (P = .53) of cases in each cohort.
Conclusions: Our 3:1 PA-physician model team showed equal to superior outcomes compared with the physician-only hospitalist model.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683074 | PMC |
| http://dx.doi.org/10.1097/01.JAA.0000795020.20041.2e | DOI Listing |
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