Abstract

Introduction: There is a lack of knowledge surrounding the impact of Physician Assistants (PAs) on the health system. This study analyzes trends in patient satisfaction and efficiency in patients assessed by PAs. 

Methodology: A retrospective study was conducted in an urban community Emergency Department (ED) comparing patient satisfaction and efficiency in two three-month intervals in 2019 and 2021, between pre-and post-implementation of PAs. Patient satisfaction was studied through surveys focusing on two questions, “Would you recommend this ED?” and “Did you understand discharge instructions?” Length of Stay (LOS) and Provider Initial Time (PIA) were collected in patients with lacerations and fractures seen by physicians (2019) and PAs (2021) to compare ED efficiency.

Results: Patients seen by a PA were almost three times more likely to recommend the ED and understand discharge instructions. There were no differences in PIA time and LOS in patients with and without lacerations and fractures seen by a PA.

Conclusion: Implementation of PAs within the ED significantly improved patient satisfaction, with no change in patient visit efficiency.