[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-427549-105":3,"detail-sidebar-cat-0-en-105":85,"doc-detail-427549-en":134},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":78,"head_meta":80,"extra_data":82,"updated_unix":84},105,"en","emergency-department-provider-utilization-in-rural-and-urban-settings-roles-of-nps-pas-and-physicians","Emergency Department Provider Utilization in Rural and Urban Settings - Roles of NPs, PAs, and Physicians","","Emergency departments function as critical access points in the U.S. healthcare system, increasingly relying on nurse practitioners (NPs) and physician assistants (PAs) amid rising volumes and physician shortages. Using 2017–2021 National Hospital Ambulatory Medical Care Survey data from 83,282 ED visits, provider patterns were analyzed by patient demographics, visit acuity, and geography. Results quantified ED physician-only care (74.0%), NP/PA with a physician (14.4%), and NP/PA without a physician (11.6%). Findings show demographic, acuity, and rural–urban differences that inform workforce planning and ED resource allocation.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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data and sample size were used to analyze ED provider utilization?","Question",{"text":63,"@type":64},"The study used 2017–2021 National Hospital Ambulatory Medical Care Survey data covering 83,282 emergency department visits.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were visits categorized by provider type?",{"text":68,"@type":64},"Visits were categorized as ED physician only (74.0%), NP/PA with a physician (14.4%), and NP/PA without a physician (11.6%).",{"name":70,"@type":61,"acceptedAnswer":71},"How did rural and urban settings differ in NP/PA-only involvement?",{"text":72,"@type":64},"Rural EDs showed higher NP/PA-only involvement (13.5%) than urban EDs (9.8%), with an odds ratio reported in the findings.",{"name":74,"@type":61,"acceptedAnswer":75},"Why are the findings important for healthcare planning?",{"text":76,"@type":64},"They highlight workforce distribution patterns by geography and acuity, supporting workforce planning and more efficient ED resource 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treated by ED physicians only (78.9%) . Non-Hispanic Black patients had the highest likelihood of NP/PA involvement (16.4%) . Semiurgent/nonurgent visits had significantly higher odds of NP/PA-only care (OR: 5.39; 95% CI: 4.80–6.04), while immediate/emergent cases were primarily managed by ED physicians (78.8%). Rural EDs had higher NP/PA-only involvement (13.5%) compared to urban EDs (9.8%; OR: 1.08; 95% CI: 1.01–1.16). Public insurance holders were more likely to see NP/ PAs with a physician, while self-pay patients had higher odds of NP/PA-only care (OR: 1.35; 95% CI: 1.25–1.45). These findings highlight workforce distribution patterns in EDs, with NP/PAs playing a greater role in rural and lower-acuity settings. Understanding these trends is critical for workforce planning and optimizing ED resource allocation.  \nAbstract citation ID: igaf122.2586  \nEMERGENCY DEPARTMENT PROVIDER UTILIZATION  \nIN RURAL AND URBAN SETTINGS: ROLES OF NPS,  \nPAS, AND PHYSICIANS  \nNasim Ferdows, Northeastern University, Boston, Massachusetts, United States  \nEmergency departments (EDs) are essential access points in [the U.S. healthcare](the U.S. healthcare) system, with increasing reliance on nurse practitioners (NPs) and physician assistants (PAs) due to rising patient volumes and physician shortages. However, little is known about how provider utilization varies by patient demographics, visit acuity, and geographic location. Using data from the 2017–2021 National Hospital Ambulatory Medical Care Survey, we examined provider types across 83,282 ED visits, categorized as ED physician only (74.0%), NP/PA with a physician (14.4%), and NP/PA without a physician (11.6%). Younger patients (\u003C 15 years) were more likely to see NP/PAs without a","cbCaikUtkrm0Nunk","https://ap.wps.com/l/cbCaikUtkrm0Nunk","pdf",686782,"English","# Emergency department provider utilization\n## Data source and study design\n## Provider categories across ED visits\n## Differences by patient demographics and visit acuity\n## Rural versus urban provider roles\n## Implications for workforce planning","[{\"question\":\"What data and sample size were used to analyze ED provider utilization?\",\"answer\":\"The study used 2017–2021 National Hospital Ambulatory Medical Care Survey data covering 83,282 emergency department visits.\"},{\"question\":\"How were visits categorized by provider type?\",\"answer\":\"Visits were categorized as ED physician only (74.0%), NP/PA with a physician (14.4%), and NP/PA without a physician (11.6%).\"},{\"question\":\"How did rural and urban settings differ in NP/PA-only involvement?\",\"answer\":\"Rural EDs showed higher NP/PA-only involvement (13.5%) than urban EDs (9.8%), with an odds ratio reported in the findings.\"},{\"question\":\"Why are the findings important for healthcare planning?\",\"answer\":\"They highlight workforce distribution patterns by geography and acuity, supporting workforce planning and more efficient ED resource allocation.\"}]","Emergency Department Provider Utilization in Rural and Urban Settings - Roles of NPs, PAs, and Physicians | PDF",1790644185]