Internal practice barriers for non-physician practitioners in the veterans healthcare system

Kenneth W Kizer, Ronald B. Norby

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

As a consequence of the re-engineering of the veterans Healthcare system initiated in 1995, non-physician clinicians are functioning with new levels of autonomy and expanded scopes of practice, but they are not consistently being utilized to their optimal potential. A work group appointed by the Under Secretary of Health in 1996 found various barriers to improving this situation: 1) lack of clarity regarding the roles of the non-physician clinicians; 2) lack of understanding of the basis of their credentialing; 3) lack of uniformity of their credentials; 4) non-acceptance by physicians and managers; 5) rigidity of administrative policies; and 6) salary, benefit, and career-advancement issues. The authors recommend ongoing management attention to addressing these barriers both within and outside the VHA system.

Original languageEnglish (US)
Pages (from-to)183-187
Number of pages5
JournalJournal of Allied Health
Volume27
Issue number4
StatePublished - Sep 1998
Externally publishedYes

Fingerprint

Credentialing
Physician's Role
Salaries and Fringe Benefits
Veterans
Delivery of Health Care
Physicians
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Internal practice barriers for non-physician practitioners in the veterans healthcare system. / Kizer, Kenneth W; Norby, Ronald B.

In: Journal of Allied Health, Vol. 27, No. 4, 09.1998, p. 183-187.

Research output: Contribution to journalArticle

@article{32a7001a95194114b579ffab82d4e1e6,
title = "Internal practice barriers for non-physician practitioners in the veterans healthcare system",
abstract = "As a consequence of the re-engineering of the veterans Healthcare system initiated in 1995, non-physician clinicians are functioning with new levels of autonomy and expanded scopes of practice, but they are not consistently being utilized to their optimal potential. A work group appointed by the Under Secretary of Health in 1996 found various barriers to improving this situation: 1) lack of clarity regarding the roles of the non-physician clinicians; 2) lack of understanding of the basis of their credentialing; 3) lack of uniformity of their credentials; 4) non-acceptance by physicians and managers; 5) rigidity of administrative policies; and 6) salary, benefit, and career-advancement issues. The authors recommend ongoing management attention to addressing these barriers both within and outside the VHA system.",
author = "Kizer, {Kenneth W} and Norby, {Ronald B.}",
year = "1998",
month = "9",
language = "English (US)",
volume = "27",
pages = "183--187",
journal = "Journal of Allied Health",
issn = "0090-7421",
publisher = "Science and Medicine Inc.",
number = "4",

}

TY - JOUR

T1 - Internal practice barriers for non-physician practitioners in the veterans healthcare system

AU - Kizer, Kenneth W

AU - Norby, Ronald B.

PY - 1998/9

Y1 - 1998/9

N2 - As a consequence of the re-engineering of the veterans Healthcare system initiated in 1995, non-physician clinicians are functioning with new levels of autonomy and expanded scopes of practice, but they are not consistently being utilized to their optimal potential. A work group appointed by the Under Secretary of Health in 1996 found various barriers to improving this situation: 1) lack of clarity regarding the roles of the non-physician clinicians; 2) lack of understanding of the basis of their credentialing; 3) lack of uniformity of their credentials; 4) non-acceptance by physicians and managers; 5) rigidity of administrative policies; and 6) salary, benefit, and career-advancement issues. The authors recommend ongoing management attention to addressing these barriers both within and outside the VHA system.

AB - As a consequence of the re-engineering of the veterans Healthcare system initiated in 1995, non-physician clinicians are functioning with new levels of autonomy and expanded scopes of practice, but they are not consistently being utilized to their optimal potential. A work group appointed by the Under Secretary of Health in 1996 found various barriers to improving this situation: 1) lack of clarity regarding the roles of the non-physician clinicians; 2) lack of understanding of the basis of their credentialing; 3) lack of uniformity of their credentials; 4) non-acceptance by physicians and managers; 5) rigidity of administrative policies; and 6) salary, benefit, and career-advancement issues. The authors recommend ongoing management attention to addressing these barriers both within and outside the VHA system.

UR - http://www.scopus.com/inward/record.url?scp=0032150391&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032150391&partnerID=8YFLogxK

M3 - Article

C2 - 9879023

AN - SCOPUS:0032150391

VL - 27

SP - 183

EP - 187

JO - Journal of Allied Health

JF - Journal of Allied Health

SN - 0090-7421

IS - 4

ER -