Explore the potential of having Physician Assistants (PAs) working in critical care in Manitoba – A literature review
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Date
2020
Authors
Ran, Ran
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Abstract
Intro: Critical care medical staffing has been an emerging issue due to the change in the IPS standard and the ACGME resident duty hour restrictions. Currently, no PAs is working in Manitoba's critical care. Due to the health care system transformation, implementing PAs to critical care is a possible solution to achieve financial sustainability for Manitoba health care.
Methods: Articles evaluated for this literature review were collected using Scopus and PubMed with searching keywords mainly include "physician assistant", “intensive care”, "critical care" and "cost-effectiveness".
Results: 143 articles were found through the searching engine, of which 9 articles were
identified relevant to PAs effects in critical care, 7 articles were relevant to PAs cost effectiveness.
Conclusion: Based on the review, PAs are proven to be safe and adequate in providing patient care in critical care compared to other traditional providers. PAs are economically efficient in many medicine subspecialties and in-direct data is supporting PA's cost effectiveness in ICU. Thus, implementing PAs into critical care in Manitoba could positively contribute to critical care staffing in the midst of the provincial health care system transformation.
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Keywords
physician assistant, intensive care, critical care, cost-effectiveness