PA-SCER 

Physician Associate Research in  Secondary Care in England 

An NIHR funded study 

Welcome to our study site

PA-SCER was a research study (2015-2018) which investigated the contribution that Physician Associates make to secondary care health services in England.
 

The study was funded by the National Institute of Health Service Research (NIHR)  . 

You can read the findings here - Drennan VM, Halter M, Wheeler C, Nice L, Brearley S, Ennis J, Gabe J, Gage H, Levenson R, de Lusignan S, Begg P, Parle J. What is the contribution of physician associates in hospital care in England? A mixed methods, multiple case study. BMJ Open. 2019 Jan 30;9(1):e027012. doi: 10.1136/bmjopen-2018-027012.

and in the final report

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The research questions 

1.What is the extent of the adoption and deployment of PAs employed in hospital medical services?

2.What factors support or inhibit the inclusion of PAs as part of hospital medical teams at the macro, meso and micro level of the English health care system?

3.What is the impact of including PAs in hospital medical teams on the patients’ experience and outcomes? 

4.What is the impact of including PAs in hospital medical teams on the organisation of services, working practices and training of other professionals, relationships between professionals and the service costs?


Our latest publications 


Drennan VM, Halter M, Wheeler C, Nice L, Brearley S, Ennis J, Gabe J, Gage H, Levenson R, de Lusignan S, Begg P, Parle J.What is the contribution of physician associates in hospital care in England? A mixed methods, multiple case study. BMJ Open. 2019 Jan 30;9(1):e027012. doi: 10.1136/bmjopen-2018-027012.

Drennan VM, Halter M, Wheeler C, Nice L, Brearley S, Ennis J, et al. The role of physician associates in secondary care: the PA-SCER mixed-methods study. Health Serv Deliv Res 2019;7(19) https://doi.org/10.3310/hsdr07190

Halter M, Wheeler C, Pelone F, Gage H, Lusignan S, Frost-Bridges E, Parle JV, Grant R, Gabe J, Nice L. The contribution of physician assistants/associates to secondary care: a systematic review. BMJ Open.  2018 Jun 19;8(6):e019573. doi: 10.1136/bmjopen-2017-019573.

Halter, M., Wheeler, C., Drennan, V.M., de Lusignan, S., Grant, R., Gabe, J., Gage, H., Ennis, J. and Parle, J., 2017. Physician associates in England's hospitals: a survey of medical directors exploring current usage and factors affecting recruitment.Clinical Medicine, 17(2), pp.126-131.


Wheeler, C., Halter, M., Drennan, V.M., de Lusignan, S., Grant, R., Gabe, J., Gage, H., Begg, P., Ennis, J. and Parle, J., 2017. Physician associates working in secondary care teams in England: Interprofessional implications from a national survey. Journal of interprofessional care, 31(6), pp.774-776.


Acknowledgment and disclaimer 


The National Institute for Health Research (NIHR) is funded through the Department of Health to improve the health and wealth of the nation through research.  

The study is called Health Services & Delivery Research (HS& DR) Programme Project: 14/19/26 - Investigating the contribution of physician associates (Physician associates) to secondary care in England: a mixed methods study. This is independent research funded by the National Institute for Health Research (NIHR). 

The views and opinions expressed by the research team on this website are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR Programme or the Department of Health . 


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