Understanding the role of advanced practice providers in oncology in the United States Journal Article

Authors: Bruinooge, S. S.; Pickard, T. A.; Vogel, W.; Hanley, A.; Schenkel, C.; Garrett-Mayer, E.; Tetzlaff, E.; Rosenzweig, M.; Hylton, H.; Westin, S. N.; Smith, N.; Lynch, C.; Kosty, M. P.; Williams, S. F.
Article Title: Understanding the role of advanced practice providers in oncology in the United States
Abstract: PURPOSE: Advanced practice providers (APPs, which include nurse practitioners [NPs] and physician assistants [PAs]) are integral members of oncology teams. This study aims to identify all oncology APPs and to understand personal and practice characteristics (including compensation) of those APPs. METHODS: We identified APPs who practice oncology from membership and claims data. We surveyed 3,055 APPs about their roles in clinical care. RESULTS: We identified at least 5,350 APPs in oncology and an additional 5,400 who might practice oncology. Survey respondents totaled 577, which provided a 19% response rate. Results focused on 540 NPs and PAs. Greater than 90% reported satisfaction with career choice. Respondents identified predominately as White (89%) and female (94%). NPs and PAs spent the majority (80%) of time in direct patient care. The top four patient care activities were patient counseling (NPs = 94%; PAs = 98%), prescribing (NPs = 93%; PAs = 97%), treatment management (NPs = 89%; PAs = 93%), and follow-up visits (NPs = 81%; PAs = 86%). A majority of all APPs reported both independent and shared visits (65% hematology/oncology/ survivorship/prevention/pediatric hematology/oncology; 85% surgical/gynecologic oncology; 78% radiation oncology). A minority of APPs reported that they conducted only shared visits. Average annual compensation was between $113,000 and $115,000, which is approximately $10,000 higher than average pay for nononcology APPs. CONCLUSION: We identified 5,350 oncology APPs and conclude that number may be as high as 7,000. Results suggest that practices that incorporate APPs routinely rely on them for patient care. Given the increasing number of patients with and survivors of cancer, APPs are important to ensure access to quality cancer care.
Keywords: adult; united states; counseling; time factors; questionnaires; confidence intervals; professional practice; radiation oncology; survivorship; sex factors; job satisfaction; data analysis software; professional role; hematology; descriptive statistics; funding source; middle age; linear regression; nurse practitioners; office visits; random sample; convenience sample; fisher's exact test; whites; wilcoxon rank sum test; salaries and fringe benefits; practice patterns; prescribing patterns; physician assistants; health care delivery, integrated; human; male; female; oncologic care -- united states
Journal Title: Oncology Nursing Forum
Volume: 45
Issue: 6
ISSN: 0190-535X
Publisher: Oncology Nursing Society (ONS)  
Date Published: 2018-11-01
Start Page: 786
End Page: 800
Language: English
ACCESSION: 132480035
DOI: 10.1188/18.onf.786-800
PUBMED: 30339144
Notes: Publisher-provided DOI does not resolve (as of 2018-11-14) -- Source: cin20
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MSK Authors
  1. Heather Marie Hylton
    9 Hylton
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