Medical assistants as flow managers in primary care: Challenges and recommendations

Caroline P. Gray, Michael I. Harrison, Dorothy Hung

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

As healthcare organizations look for ways to reduce costs and improve quality, many rely increasingly on allied healthcare professionals and, in particular, medical assistants (MAs) to supplement the work of physicians and other health professionals. MAs usually work in primary care, where they often play important roles on healthcare teams. Drawing on an empirical study of a large, multispecialty delivery system engaged in reconfiguration of primary care, we found that using MAs as flow managers required overcoming several challenges. These included entrenched social and occupational hierarchies between physicians and MAs, a lack of adequate training and mentorship, and difficulty attracting and retaining talented MAs. We offer several recommendations for healthcare organizations interested in using MAs as flow managers in their practices.

Original languageEnglish
Pages (from-to)181-191
Number of pages11
JournalJournal of Healthcare Management
Volume61
Issue number3
DOIs
StatePublished - 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 Lippincott Williams and Wilkins. All rights reserved.

Funding

The research reported in this article was funded by the Agency for Healthcare Research and Quality under contract HHSA2902010000221, Task Order 2. The views expressed are solely those of the authors and do not represent any U.S. government agency or any institutions with which the authors are affiliated. Caroline P. Gray, PhD, research sociologist, Palo Alto Medical Foundation Research Institute, Mountain View, California; Michael I. Harrison, PhD, senior social scientist, Agency for Healthcare Research and Quality, Rockville, Maryland; and Dorothy Hung, PhD, assistant scientist, Palo Alto Medical Foundation Research Institute

FundersFunder number
Medical Foundation Research Institute
Agency for Healthcare Research and QualityHHSA2902010000221
Palo Alto Medical Foundation

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