{"id":"https://openalex.org/W58497672","doi":null,"title":"Exploring the use of NPs and PAs in primary care.","display_name":"Exploring the use of NPs and PAs in primary care.","publication_year":1994,"publication_date":"1994-12-01","ids":{"openalex":"https://openalex.org/W58497672","mag":"58497672","pmid":"https://pubmed.ncbi.nlm.nih.gov/10139220"},"language":"en","primary_location":{"id":"pmid:10139220","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10139220","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HMO practice","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088647790","display_name":"Judith Frampton","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J Frampton","raw_affiliation_strings":["Harvard Community Health Plan, Boston, MA 02138"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Community Health Plan, Boston, MA 02138","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":null,"display_name":"S Wall","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S Wall","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.00953404,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"4","first_page":"165","last_page":"70"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11497","display_name":"Interprofessional Education and Collaboration","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.9990000128746033},{"id":"https://openalex.org/keywords/physician-assistants","display_name":"physician assistants","score":1.0},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.9739999771118164},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"internal medicine","score":0.7360000014305115},{"id":"https://openalex.org/keywords/patient-preferences","display_name":"patient preferences","score":0.8650000095367432},{"id":"https://openalex.org/keywords/member-education","display_name":"member education","score":0.671999990940094},{"id":"https://openalex.org/keywords/women-s-health-services","display_name":"women's health services","score":0.4959999918937683},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.3499999940395355}],"concepts":[{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.7200588583946228},{"id":"https://openalex.org/C3018572941","wikidata":"https://www.wikidata.org/wiki/Q595071","display_name":"Nurse practitioners","level":3,"score":0.6160151958465576},{"id":"https://openalex.org/C3020008087","wikidata":"https://www.wikidata.org/wiki/Q718927","display_name":"Physician assistants","level":4,"score":0.602586030960083},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5368507504463196},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5002601146697998},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.4997279644012451},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4830670952796936},{"id":"https://openalex.org/C2781158071","wikidata":"https://www.wikidata.org/wiki/Q55379489","display_name":"Primary care physician","level":3,"score":0.42776715755462646},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4249362647533417},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.4204097390174866},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.06491744518280029},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.06327453255653381},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000078329","descriptor_name":"Workforce","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001900","descriptor_name":"Boston","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003625","descriptor_name":"Data Collection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006279","descriptor_name":"Health Maintenance Organizations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009722","descriptor_name":"Nurse Practitioners","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D009819","descriptor_name":"Office Visits","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010823","descriptor_name":"Physician Assistants","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:10139220","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10139220","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"HMO practice","raw_type":"Journal Article"},{"id":"mag:58497672","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10139220","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2101939865","https://openalex.org/W59009320","https://openalex.org/W2474167167","https://openalex.org/W2411491156","https://openalex.org/W4211148125","https://openalex.org/W2108877174","https://openalex.org/W1997601623","https://openalex.org/W2500733860","https://openalex.org/W2590610097","https://openalex.org/W2966980355"],"abstract_inverted_index":{"Although":[0],"nurse":[1],"practitioners":[2,107],"(NPs)":[3],"and":[4,34,42,82,97],"physician":[5],"assistants":[6],"(PAs)":[7],"can":[8,86],"meet":[9],"a":[10,60],"majority":[11],"of":[12,40,54,59,67,80,95],"primary":[13],"care":[14],"needs,":[15],"the":[16,38,57,78,93],"implications":[17],"for":[18,108],"ambulatory":[19],"health":[20,27],"centers":[21],"are":[22],"not":[23],"straightforward.":[24],"One":[25],"HMO":[26],"center":[28],"undertook":[29],"to":[30,76,101],"determine":[31],"its":[32,45],"providers'":[33],"patients'":[35],"views":[36],"on":[37],"role":[39,94],"NPs":[41,81,96],"PAs":[43,83,98],"in":[44],"Internal":[46],"Medicine":[47],"Department.":[48],"The":[49],"analysis":[50],"suggests":[51],"that":[52,71],"28%":[53],"visits":[55],"required":[56],"attention":[58],"physician,":[61],"though":[62],"physicians":[63],"actually":[64],"provided":[65],"66%":[66],"visits.":[68],"We":[69],"conclude":[70],"it":[72],"may":[73],"be":[74],"possible":[75],"increase":[77],"use":[79],"if":[84],"we":[85],"educate":[87],"members,":[88],"particularly":[89],"younger":[90],"women,":[91],"about":[92],"so":[99],"as":[100],"encourage":[102],"their":[103,109],"preferentially":[104],"selecting":[105],"these":[106],"routine":[110],"care.":[111]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
