Skip to main content
Top
Published in: Israel Journal of Health Policy Research 1/2020

Open Access 01-12-2020 | Emergency Medicine | Commentary

Paramedics and Physician Assistants in Israel

Author: Roderick S. Hooker

Published in: Israel Journal of Health Policy Research | Issue 1/2020

Login to get access

Abstract

Israeli emergency medicine is undergoing change. The paramedic is experiencing high separation rates because the position is understaffed, overworked, and underpaid. Physician assistants (PAs) were introduced into the emergency department by training paramedics and to date they seem satisfied with this new role. Experience in other countries indicates that PAs can improve access to care, reduce errors, increase efficiency and have satisfying roles in health systems. The Israeli health system will need to determine if additional roles for PAs will be accepted by the public and physicians alike.
Literature
3.
go back to reference Maoz-Breuer R, Berkowitz O, Nissanholtz-Gannot R. Integration of the first physician assistants into Israeli emergency departments–the physician assistants’ perspective. Isr J Health Policy Res. 2019;8(1):4.CrossRef Maoz-Breuer R, Berkowitz O, Nissanholtz-Gannot R. Integration of the first physician assistants into Israeli emergency departments–the physician assistants’ perspective. Isr J Health Policy Res. 2019;8(1):4.CrossRef
4.
go back to reference Dopelt K, Wacht O, Strugo R, Miller R, Kushnir T. Factors that affect Israeli paramedics’ decision to quit the profession: a mixed methods study. Isr J Health Policy Res. 2019;8(1):78.CrossRef Dopelt K, Wacht O, Strugo R, Miller R, Kushnir T. Factors that affect Israeli paramedics’ decision to quit the profession: a mixed methods study. Isr J Health Policy Res. 2019;8(1):78.CrossRef
5.
go back to reference Rick TJ, Moshi DD. The Tanzanian assistant medical officer. J Am Acad PAs. 2018;31(4):43–7. Rick TJ, Moshi DD. The Tanzanian assistant medical officer. J Am Acad PAs. 2018;31(4):43–7.
6.
go back to reference Ramer SC. The Russian feldsher: a PA prototype in transition. J Am Acad PAs. 2018;31(11):1–6. Ramer SC. The Russian feldsher: a PA prototype in transition. J Am Acad PAs. 2018;31(11):1–6.
7.
go back to reference Carlson CL, Athelstan GT. The physician's assistant: versions and diversions of a promising concept. JAMA. 1970;214(10):1855–61.CrossRef Carlson CL, Athelstan GT. The physician's assistant: versions and diversions of a promising concept. JAMA. 1970;214(10):1855–61.CrossRef
8.
go back to reference Cawley JF, Cawthon E, Hooker RS. Origins of the physician assistant movement in the United States. J Am Acad Physician Assist. 2012;25(12):36–42.CrossRef Cawley JF, Cawthon E, Hooker RS. Origins of the physician assistant movement in the United States. J Am Acad Physician Assist. 2012;25(12):36–42.CrossRef
9.
go back to reference Dill MJ, Pankow S, Erikson C, Shipman S. Survey shows consumers open to a greater role for physician assistants and nurse practitioners. Health Aff. 2013;32(6):1135–42.CrossRef Dill MJ, Pankow S, Erikson C, Shipman S. Survey shows consumers open to a greater role for physician assistants and nurse practitioners. Health Aff. 2013;32(6):1135–42.CrossRef
10.
go back to reference Hooker RS, Moloney-Johns A, MacFarland M. Patient satisfaction with physician assistant/associate care: an international scoping review. Hum Resour Health. 2019;17(104):1-11. Hooker RS, Moloney-Johns A, MacFarland M. Patient satisfaction with physician assistant/associate care: an international scoping review. Hum Resour Health. 2019;17(104):1-11.
11.
go back to reference Glick Y, Baruch EN, Tsur AM, Berg AL, Yifrah D, Yitzhak A, et al. Extending a helping hand: a comparison of Israel defense forces medical corps humanitarian aid field hospitals. Isr Med Assoc J: IMAJ. 2016;18(10):581–5.PubMed Glick Y, Baruch EN, Tsur AM, Berg AL, Yifrah D, Yitzhak A, et al. Extending a helping hand: a comparison of Israel defense forces medical corps humanitarian aid field hospitals. Isr Med Assoc J: IMAJ. 2016;18(10):581–5.PubMed
12.
go back to reference Berkowitz O, Gelbshtein U, Segal I, Jacobson E. The new Israeli PA. J Am Acad PAs. 2018;31(7):46–8. Berkowitz O, Gelbshtein U, Segal I, Jacobson E. The new Israeli PA. J Am Acad PAs. 2018;31(7):46–8.
13.
go back to reference Bohm ER, Dunbar M, Pitman D, Rhule C, Araneta J. Experience with physician assistants in a Canadian arthroplasty program. Can J Surg. 2010;53(2):103.PubMedPubMedCentral Bohm ER, Dunbar M, Pitman D, Rhule C, Araneta J. Experience with physician assistants in a Canadian arthroplasty program. Can J Surg. 2010;53(2):103.PubMedPubMedCentral
14.
go back to reference Morgan PA, Smith VA, Berkowitz TS, Edelman D, Van Houtven CH, Woolson SL, et al. Impact of physicians, nurse practitioners, and physician assistants on utilization and costs for complex patients. Health Aff. 2019;38(6):1028–36.CrossRef Morgan PA, Smith VA, Berkowitz TS, Edelman D, Van Houtven CH, Woolson SL, et al. Impact of physicians, nurse practitioners, and physician assistants on utilization and costs for complex patients. Health Aff. 2019;38(6):1028–36.CrossRef
15.
go back to reference Brink VD GTWJ, Kouwen AJ, Hooker RS, Vermeulen H, Laurant MGH. An activity analysis of Dutch hospital-based physician assistants and nurse practitioners. Hum Res Health. 2019; 17: 78, 1–8. Brink VD GTWJ, Kouwen AJ, Hooker RS, Vermeulen H, Laurant MGH. An activity analysis of Dutch hospital-based physician assistants and nurse practitioners. Hum Res Health. 2019; 17: 78, 1–8.
16.
go back to reference Limited S. Phase II of the physician assistant demonstrations evaluation report: report for health workforce New Zealand. Wellington: Ministry of Health; 2015. Limited S. Phase II of the physician assistant demonstrations evaluation report: report for health workforce New Zealand. Wellington: Ministry of Health; 2015.
17.
go back to reference Ritsema TS, Roberts KA, Watkins JS. Explosive growth in British physician associate education since 2008. J Phys Assist Educ. 2019;30(1):57–60. Ritsema TS, Roberts KA, Watkins JS. Explosive growth in British physician associate education since 2008. J Phys Assist Educ. 2019;30(1):57–60.
18.
go back to reference Joyce P, Arnett R, Hill A, Hooker RS. Patient willingness to be seen by a physician associate in Ireland. Int J Healthcare. 2018; 4(2): 1–9.CrossRef Joyce P, Arnett R, Hill A, Hooker RS. Patient willingness to be seen by a physician associate in Ireland. Int J Healthcare. 2018; 4(2): 1–9.CrossRef
19.
go back to reference Helfrich CD, Dolan ED, Simonetti J, Reid RJ, Joos S, Wakefield BJ, et al. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees. J Gen Intern Med. 2014;29(2):659–66.CrossRef Helfrich CD, Dolan ED, Simonetti J, Reid RJ, Joos S, Wakefield BJ, et al. Elements of team-based care in a patient-centered medical home are associated with lower burnout among VA primary care employees. J Gen Intern Med. 2014;29(2):659–66.CrossRef
20.
go back to reference Hooker RS, Kuilman L, Everett CM. Physician assistant job satisfaction: a narrative review of the empirical research. J Phys Assist Educ. 2015;26(4):176–86. Hooker RS, Kuilman L, Everett CM. Physician assistant job satisfaction: a narrative review of the empirical research. J Phys Assist Educ. 2015;26(4):176–86.
Metadata
Title
Paramedics and Physician Assistants in Israel
Author
Roderick S. Hooker
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2020
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/s13584-019-0358-9

Other articles of this Issue 1/2020

Israel Journal of Health Policy Research 1/2020 Go to the issue