Funding Models for Physician Assistants: Canadian and International Experiences

The Conference Board of Canada, 95 pages, September 13, 2017
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With sustainable funding models, Canada could better leverage PAs to help address many of its health system goals, such as improved continuity of care, access, equity, and sustainability.

Document Highlights

As population health needs become more complex and the demand for services increases, optimizing health care workforce configurations, service delivery approaches, and funding models becomes increasingly important. Physician assistants (PAs) are an existing and largely untapped health provider group that could be better leveraged to narrow health care service gaps in Canada.

Funding Models for Physician Assistants: Canadian and International Experiences is the third installment of The Conference Board of Canada’s series on PAs. It provides an overview of several funding sources for employing PAs, including Canada’s experience in Manitoba and Ontario, and international models in the United States, the United Kingdom, and the Netherlands. The purpose is to provide considerations for the Canadian context and evidence to engage in dialogue about the expansion of PA roles within Canadian health care systems.

Table of Contents

Executive Summary

Chapter 1—Introduction

  • Overview of Research Approach

Chapter 2—Health Service Provider Funding Sources

Chapter 3—Funding Models for Physician Assistant Integration

  • The United States
  • The United Kingdom
  • The Netherlands
  • Manitoba
  • Ontario
  • Comparison of PA Funding Models Across Case Examples

Chapter 4—Ontario PA Funding Experiences by Practice Setting

  • Primary Care
  • Emergency Medicine
  • Endocrinology
  • Orthopedic Surgery
  • Opportunities and Challenges

Chapter 5—Conclusion

  • Funding Models Need to Better Reflect Context
  • A Salaried Approach for Remuneration Is the Most Common and Likely Way Forward
  • Monitoring PA Work, as Well as Their Impact, Outcomes, and Efficiency, Is Essential
  • Communication About the Value of PAs Is Important Within a Strained Health Care System

Appendix A—Key Informant Interviews and Guide for Case Examples

  • Interview Guide Questions

Appendix B—Bibliography

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