Subject(s)
Ethics, Professional , Physician Assistants/standards , Social Responsibility , Health Services Accessibility/standards , Humans , Managed Care Programs/economics , Managed Care Programs/standards , Patient Care Planning , Primary Health Care/economics , Primary Health Care/standards , United StatesSubject(s)
Group Practice/organization & administration , Physician Assistants/statistics & numerical data , Task Performance and Analysis , Data Collection , Focus Groups , Forms and Records Control , Hospital Bed Capacity, 500 and over , Hospitals, Special/organization & administration , Nurse Midwives/statistics & numerical data , Nurse Practitioners/statistics & numerical data , Patient Care Team/organization & administration , Pennsylvania , Workforce , WorkloadABSTRACT
Two hundred and ninety cases of subacute sclerosing panencephalitis (SSPE) registered in England and Wales from 1970 to 1989 were followed at 6-monthly intervals. Male to female ratio was 2.8:1. Age at onset increased significantly over the period. Measles was recorded for 81% of cases; in nearly half this had occurred under 2 years. Measles vaccine was documented in 20 cases; in 10 measles was also documented and it could not be positively excluded in the remainder. The calculated risk of SSPE following measles was 4.0/100,000 cases compared with the risk after vaccine of 0.14/100,000 doses. Measles under 1 year carried a risk 16 times greater than measles over 5 years. There was an excess of cases in third and subsequent children. The incidence was higher in the northwest than in the southeast of the country. Survival time varied from 4 weeks to 16 years and was shorter when measles had occurred over the mean age of 2.5 years. Of the cases 9% had a history of mental retardation before the onset of SSPE. The incidence of SSPE has fallen following the reduction in measles resulting from vaccination. However, because of the median 8-year interval between measles and onset of SSPE, further cases arising from measles during the study period must still be expected, particularly in adolescents.
Subject(s)
Subacute Sclerosing Panencephalitis/epidemiology , Adolescent , Adult , Child , Child, Preschool , England/epidemiology , Female , Follow-Up Studies , Humans , Incidence , Male , Measles/epidemiology , Risk Factors , Wales/epidemiologyABSTRACT
The first formal physician assistant (PA) program began at Duke University 25 years ago, write David M.S., and Kenneth Harbert, M.H.A., PA-C. Since then, PAs have become widely utilized in the medical field, yet little has been done to measure their financial contribution. The authors provide a methodology and framework for groups to measure the financial productivity of their PAs.