PD13-03 ADVANCED PRACTICE PROVIDERS IN UROLOGIC CARE IN THE UNITED STATES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Advanced Practice Providers1 Apr 2018PD13-03 ADVANCED PRACTICE PROVIDERS IN UROLOGIC CARE IN THE UNITED STATES Raymond Fang, Patrick McKenna, J. Stuart Wolf, Jr., William Meeks, Brad Erickson, Christopher Gonzalez, Steve Schlossberg, and J. Quentin Clemens Raymond FangRaymond Fang More articles by this author , Patrick McKennaPatrick McKenna More articles by this author , J. Stuart Wolf, Jr.J. Stuart Wolf, Jr. More articles by this author , William MeeksWilliam Meeks More articles by this author , Brad EricksonBrad Erickson More articles by this author , Christopher GonzalezChristopher Gonzalez More articles by this author , Steve SchlossbergSteve Schlossberg More articles by this author , and J. Quentin ClemensJ. Quentin Clemens More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.777AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To deal with future urologist shortages and increase effectiveness in urologic care delivery, integrating advanced practice providers (APP) into a urologist-led health care team can help lessen the projected shortages. This study provides an estimate of practicing urologists who work directly with APPs by practice settings in the United States. METHODS In the 2015 AUA Annual Census, practicing urologists were asked to indicate the total number of staff by profession who work directly with them in their primary practice. These include practicing urologists, physician assistants (PA), nurse practitioners (NP) and nurses. Samples were extrapolated using post-stratification weights to represent the entire practicing urologist population in the U.S. Counts and percentages of urologists who work with PAs, NPs and nurses by practice settings were calculated and reported. RESULTS APPs who work in urologic practices in the U.S. were estimated to comprise 2,506 PAs, 2,664 NPs and 8,101 nurses in 2015. Urologists are most likely to work with:·PAs in VA (68.9%), academic medical centers (55.9%) and Community Health Center/HMO/Managed Care Organization (50.0%)·NPs in academic medical centers (75.2%), Veterans Affairs (VA) hospitals (55.8%) and private hospitals (47.0%)·Nurses in academic medical centers (94.3%), community health centers/HMOs/managed care organizations (92.6%) and VA hospitals (89.2%) Compared with non-metropolitan areas, urologists in metropolitan areas are more likely to work with PAs (45.1% vs. 26.4%, p<0.001), and NPs (46.1% vs. 31.2%, p<0.001), but less likely to work with nurses (72.7% vs. 76.7%, p<0.001). We also found urologists are more likely to work with APPs in the AUA geographical sections where state practice regulations are generally in favor of APP′s practice, such as New England, Northeastern and North Central. CONCLUSIONS We demonstrate wide variation in U.S. urologists′ engagement with APPs during the delivery of urologic care. The reasons for this variation should be further explored because APPs can help improve access to urologic care, reduce costs, increase capacity and provide urologists time to focus on more complex functions. Further studies are planned to examine the roles performed by APPs in urology practices. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e299-e300 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Raymond Fang More articles by this author Patrick McKenna More articles by this author J. Stuart Wolf, Jr. More articles by this author William Meeks More articles by this author Brad Erickson More articles by this author Christopher Gonzalez More articles by this author Steve Schlossberg More articles by this author J. Quentin Clemens More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...