Analysis shows the importance of nurse practitioners and physician associates in integrated care, highlighting their unique competencies and tasks.
Physician Associates (PAs) and Nurse Practitioners (NPs) are healthcare professionals with advanced clinical skills who play a key role in strengthening integrated care and mitigating physician shortages. PAs hold a CAS or MAS (15-60 ECTS) and support physicians by taking on specific responsibilities (task shifting) to improve efficiency and ensure high-quality care. NPs have a Master of Science in Nursing (90-180 ECTS), and work with physicians (task-sharing) to care for a defined population, establishing diagnoses, managing treatment, and providing self-management support. PAs and NPs work in both inpatient and outpatient settings. Their training, competencies and scopes of practice differ; allowing them to complement each other. National regulation and tariff structures are necessary for both professions to reach their full potential.
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Gaylord et al. (2025) studied this question.
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