Veterans' perceptions of care by nurse practitioners, physician assistants, and physicians: A comparison from satisfaction surveys

Journal of the American Academy of Nurse Practitioners

Volumn 22, Issue 3, 2010, Pages 170-176

  Budzi, Dorothy ^a   Lurie, Sue ^b   Singh, Karan ^b   Hooker, Roderick ^a  

^a VA NORTH TEXAS HEALTH CARE SYSTEM   (United States)

^b UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER   (United States)

Author keywords

Health care; Practitioners; Quality; Satisfaction; Veterans Health Administration (VHA)

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; COMPARATIVE STUDY; CONFIDENCE INTERVAL; FEMALE; GOVERNMENT; HEALTH CARE SURVEY; HUMAN; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NURSE PRACTITIONER; PATIENT SATISFACTION; PERCEPTION; PHYSICIAN; PHYSICIAN ASSISTANT; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; REGRESSION ANALYSIS; STATISTICS; TRUST; UNITED STATES; VETERAN;

CLINICAL COMPETENCE; CONFIDENCE INTERVALS; FEMALE; HEALTH CARE SURVEYS; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; NURSE PRACTITIONERS; PATIENT SATISFACTION; PERCEPTION; PHYSICIAN ASSISTANTS; PHYSICIANS; QUESTIONNAIRES; REGRESSION ANALYSIS; STATISTICS AS TOPIC; TEXAS; TRUST; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 77950612798     PISSN: 10412972     EISSN: 17457599     Source Type: Journal    
DOI: 10.1111/j.1745-7599.2010.00489.x     Document Type: Article

References (40)

1. Position statement on nurse practitioner curriculum. 2006, http://www.aanp.org/NR/rdonlyres/ekkfsb5zy4cerarzoaizeol2fb66ub62625c3hr24vja4q3rd4uxgcppf7ir3zcj4uiqpt3xpwbo6a/NP%2bCurriculum%2bStatement%2b03.pdf, American Academy of Nurse Practitioners, Retrieved July 4, 2007, from
2. 2006 AAPA physician assistant census report. 2006, http://www.aapa.org/research/06census-intro.html, American Academy of Physician Assistants, Retrieved December 1, 2006, from
3. 2007 AAPA physician assistant census report. 2007, http://www.aapa.org/research/informationUpdates07/IU2007NumbClinPrac.pdf, American Academy of Physician Assistants, Retrieved September 23, 2008, from
4. Bagley B. Health outcomes among patients treated by nurse practitioners or physicians. Journal of the American Medical Association 2000, 283(19):2521-2524.
5. Blue J. VA patients get better chronic, preventive care than similar U.S. adults. VA Office of Media Relations 2004, 4(12):20.
6. Borowsky S J, Nelson D B, Fortney J C, Hedeen A N, Bradley J L. VA community-based outpatient clinics: Performance measures based on patient perceptions of care. Medical Care 2002, 40(7):578-586.
7. Bruster S, Richards N, Chandola T. Patients' experiences and satisfaction with healthcare: Results of a questionnaire study of specific aspects of care. Quality and Safety in Health Care 2002, 11(4):335-339.
8. Cipher D J, Hooker R S, Sekscenski E. Are older patients satisfied with physician assistants and nurse practitioners? Journal of the American Academy of Physician Assistants 2006, 19:36-44.
9. Courtney R, Rice C. Investigation of nurse practitioner-patient interactions: Using the nurse practitioner rating form. Nurse Practitioner 1997, 22:46-60.
10. Daniel W W. Biostatistics: A foundation for analysis in the health sciences 1999, (7th ed.), New York, John Wiley & Sons, Inc
11. Veterans health care service standards (VHA DIRECTIVE 2006-041) 2006, Department of Veterans Affairs, June 27)., Washington, DC, Author.
12. Donabedian A. An introduction to quality in health care 2003, New York, Oxford University Press, Inc.
13. Gourdji I, McVey L, Loiselle C. Patients' satisfaction and importance ratings of quality in an outpatient oncology center. Journal of Nursing Care Quality 2003, 18(1):43-55.
14. Hoffman A, Mercer L V. Physicians' perceptions of nurse practitioners: A replication study. 2008, http://www.highbeam.com/1p3-15438501-html, Retrieved February 10, 2008, from
15. Hooker R S. Federal employment of physician assistants. Military Medicine 2008, 3(9):895-899.
16. Hooker R S, Cipher D, Sekscenski E. Patient satisfaction with physician assistant, nurse practitioner, and physician care: A national survey of Medicare beneficiaries. Journal Clinical outcome Management 2005, 12(2):88.
17. 2006, http://www.icn.ch/networksap.htm#defintion, International Council of Nurses International Nurse Practitioner/Advance Practice Nursing Network., Retrieved December 12, 2006, from
18. Knudson N. Patient satisfaction with nurse practitioner service in a rural setting. Journal of the American Academy of Nurse Practitioners 2000, 12:405-412.
19. Longman P. Best care anywhere: Why VA health care is better than yours 2007, Sausalito, CA, PoliPointPress, LLC
20. Meterko M, Mohr D C, Young G J. Teamwork culture and patient satisfaction in hospitals. Medical Care 2004, 42(5):492-498.
21. Moore G, Showstack J. Primary care medicine in crisis: Toward reconstruction and renewal. Annals of Internal Medicine 2003, 138(3):244-247.
22. Government Satisfaction Scores. 2006, http://www.theacsi.org/index.php?option=com_content&task=view&id=27&Itemid=62, National Quality Research Center, Retrieved December 15, 2006, from
23. Veterans Health Administration's Outpatient SHEP data for 2002-2006 2007, National Research Corporation Picker, Lincoln, NE
24. Oliver A. The Veterans Health Administration: An American success story? Milbank Quarterly 2007, 85(1):5-35.
25. Perlin J B. Transformational strategies of the U.S. Veterans Health Administration 2005, London, Health Foundation, International Health Care Quality Exchange Conference
26. Pinkerton K, Bush H. Nurse practitioners and physicians: Patients' perceived health and satisfaction with care. Journal of the American Academy of Nurse Practitioners 2000, 12:211-217.
27. ProClarity Corporation 2003, ProClarity, Inc., Boise, ID, Author.
28. Roblin D W, Becker E R, Adams E K, Howard D H, Roberts M H. Patient satisfaction with primary care: Does type of practitioner matter? Medical Care 2004, 42(6):579-590.
29. SAS 9.0 for Windows. 2003, SAS Institute Inc., Cary, NC: Author.
30. Shelton P J. Measuring and improving patient satisfaction 2000, Gaithersburg, MD, Aspen Publishing, Inc.
31. Simon A, Link M S. Twenty-first annual report on physician assistant education in the United States, 2(1), 17 2006, Alexandria, VA, Association of Physician Assistant Programs
32. Sox H C. The future of primary care. Annals of Internal Medicine 2003, 138(3):230-232.
33. Speziale H S. Qualitative research in nursing: advancing the humanistic imperative 2003, 3rd ed, )., Philadelphia, PA, Lippincott Williams & Wilkins
34. Taking care of America's returning wounded warriors, March 6, 2006. 2007, Veterans Affairs., Washington, DC: The White House.
35. Announcement of healthier US veterans. 2005, Veterans Health Administration
36. ACSI report 2006a, Veterans Health Administration, Washington, DC, Author.
37. Statistics on patients and staffing 2006b, Veterans Health Administration, Washington, DC, Author.
38. VA healthcare overview 2006c, Veterans Health Administration, Washington, DC, Author.
39. White B. Measuring patient satisfaction: How to do it and why to bother. 2006, http://www.aafp.org, Retrieved November 14,, from
40. White S M, Craig T, Campbell S, Schaefer J, Humble C. Patient satisfaction of female and male users of Veterans Health Administration services 2006, Washington, DC, The Office of Quality and Performance, Veterans Health Administration