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Patient preference in primary care provider type

机译：初级保健提供者类型的患者偏好

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Background: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is the first to examine reasons for patients' provider type preferences. Methods: Using data from the 2014 Association of American Medical Colleges' (AAMC) Consumer Survey of Health Care Access, we used qualitative analysis to identify themes in open text responses of reasons for respondents' provider type preference (N = 4220). After coding responses for themes, we used chi-square tests to assess whether there were statistically significant differences in respondents' reasons for their provider preference, and whether reasons vary by the gender, race, or age of the respondent. Results: Those preferring physicians were more likely to cite physician qualifications (75%) and trust (796) than those preferring NP/PAs (qualifications = 36%; trust = 4%). Those preferring NP/PAs were more likely to cite bedside manner (20%) and convenience (9%) than those preferring physicians (bedside manner = 5%; convenience = 4%). Both groups of respondents were equally likely to mention previous experience with their provider type as a reason for their preference (prefer physician = 19%; prefer NP/PA = 21%). Conclusions: Provider qualifications and previous health care experiences are cited as key reasons for preferring all provider types. Additionally, physicians are more often preferred for their qualifications and technical skills, whereas NP/PAs are more often preferred for their interpersonal skills. Implications: Our results could help providers, health system administrators, workforce planners, and policy makers better understand patient perspectives and design care that enhances patient satisfaction.
机译：背景：鉴于护士从业者（NPS）和医师助理（PAS）的越来越多，患者越来越能够选择其初级保健提供者类型。研究在提供者类型中检查患者偏好是有限的，我们是第一个检查患者提供者类型偏好的原因。方法：使用2014年美国医学院（AAMC）消费者卫生保健访问协会的数据，我们使用了定性分析来识别受访者提供者类型偏好的原因的开放文本响应中的主题（n = 4220）。在编码主题的响应之后，我们使用Chi-Square测试来评估受访者偏好的受访者原因是否存在统计学上的显着差异，以及被告的性别，种族或年龄而不同的原因。结果：那些偏爱的医生更有可能引用医生资格（75％）和信任（796），而不是那些更喜欢的NP / PAS（资格= 36％; Trust = 4％）。那些更喜欢NP / PAS的人更有可能引用床边的方式（20％）和方便（9％），而不是那些偏爱的医生（床边的方式= 5％;方便= 4％）。两组受访者同样有可能提及以前的提供者类型作为他们偏好的原因（更喜欢医师= 19％;更喜欢NP / PA = 21％）。结论：提供者资格和以前的医疗保健经验被引用为更喜欢所有提供商类型的主要原因。此外，对于他们的资格和技术技能，医生更常见，而NP / PAS更常见的是他们的人际交往能力。含义：我们的结果可以帮助提供商，卫生系统管理员，劳动力计划，以及决策者更好地了解患者的观点和设计护理，以提高患者满足感。

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