|Title||Nurse Practitioners and Physician Assistants Providing Primary Care in California Community Clinics|
|Publication Type||Issue Brief|
|Year of Publication||2011|
|Authors||Dower, C, Chapman, S, Patton, J, Dumlao, A|
As reported earlier, physician assistants (PAs) and nurse practitioners (NPs) play a critical role in the delivery of primary care in California, providing the majority of primary care services in over 20% of the state’s community clinics. This follow-up, qualitative research explores how and why leaders in a sample of these clinics rely on NPs and PAs, in addition to physicians, as primary care clinicians. As described, these models help meet high patient volume in a cost-effective manner. Some of the opportunities and challenges of an integrated clinician model – staffing arrangements, oversight mechanisms, practice culture and ideas for making these models work even better -- are investigated and described.