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Parents' willingness to have their child receive care by physician assistants in a pediatric emergencydepartment

Published online by Cambridge University Press:  04 March 2015

Quynh Doan ,
Sam Sheps ,
Hubert Wong ,
Joel Singer ,
David Johnson  and
Niranjan Kissoon
Quynh Doan*
Affiliation:
Department of Pediatrics, Child and Family Research Institute, University of British Columbia, and Emergency Department, BC Children's Hospital, Vancouver, BC
Sam Sheps
Affiliation:
School of Population and Public Health, University of British Columbia, Vancouver, BC
Hubert Wong
Affiliation:
School of Population and Public Health, University of British Columbia, Vancouver, BC
Joel Singer
Affiliation:
School of Population and Public Health, University of British Columbia, Vancouver, BC
David Johnson
Affiliation:
Department of Pediatrics, University of Calgary, and Alberta Children's Hospital, Calgary, AB
Niranjan Kissoon
Affiliation:
Department of Pediatrics, University of British Columbia
*
Emergency Department, BC Children's Hospital, University of British Columbia, 4480 Oak Street, Vancouver, BC V6H 3V4; qdoan@shaw.ca

Abstract

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Objective:

To determine the willingness of parents of children visiting a pediatric emergency department to have a physician assistant (PA) assess and treat their child and the waiting time reduction sufficient for them to choose to receive treatment by a PA rather than wait for a physician.

Method:

After describing the training and scope of practice of PAs, we asked caregivers of children triaged as urgent to nonurgent if they would be willing to have their child assessed and treated by a PA on that visit: definitely, maybe, or never. We also asked the minimum amount of waiting time reduction they would want to see before choosing to receive treatment by a PA rather than wait for a physician.

Result:

We approached 320 eligible subjects, and 273 (85.3%) consented to participate. Regarding whether they would be willing to have their child receive treatment by a PA, 140 (51.3%) respondents answered definitely, 107 (39.2%) said maybe, and 26 (9.2%) said never. Most respondents (64.1%) would choose to have their child seen by a PA instead of waiting for a physician if the waiting time reduction were at least 60 minutes (median 60 minutes [interquartile range 60 minutes]). Respondents' perception of the severity of their child's condition was associated with unwillingness to receive treatment by a PA, whereas child's age, presenting complaint, and actual waiting time were not.

Conclusion:

Only a small minority of parents of children visiting a pediatric emergency department for urgent to nonurgent issues are unwilling to have their child treated by PAs.

Keywords

acceptancepediatric emergency medicinephysician assistants
Type
Original Research • Recherche Originale
Information
Canadian Journal of Emergency Medicine , Volume 15 , Issue 6 , November 2013 , pp. 330 - 336
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

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