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Research Letter
April 30, 2018

Employment of Advanced Practice Clinicians in Physician Practices

Author Affiliations
  • 1School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 2RAND Corporation, Pittsburgh, Pennsylvania
  • 3School of Nursing, University of Delaware, Newark, Delaware
  • 4Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee
  • 5School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 6Center for Healthcare Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania
JAMA Intern Med. Published online April 30, 2018. doi:10.1001/jamainternmed.2018.1515

Nurse practitioners (NPs) and physician assistants (PAs) are advanced practice clinicians that are increasingly involved in the delivery of health care services. The role of advanced practice clinicians in primary care has been described previously.1-4 However, less is known about advanced practice clinicians in physician specialty practices.5 In this study, we characterize levels of and changes in advanced practice clinician employment across different physician practices in the United States in 2008 and 2016, with a particular focus on specialty practices.

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