Article CommentaryCommentary

Delivering High-Quality Primary Care Requires Work That Is Worthwhile for Medical Assistants

Alden Yuanhong Lai, Bram P. I. Fleuren, Christina T. Yuan, Erin E. Sullivan and S. Mark McNeill
The Journal of the American Board of Family Medicine February 2023, 36 (1) 193-199; DOI: https://doi.org/10.3122/jabfm.2022.220249R1

References

  1. 1.↵
    1. Hoff T
    . Embracing a diversified future for US primary care. Am J Managed Care 2013;19:e9–e13.
    OpenUrl
  2. 2.↵
    National Academies of Sciences, Engineering, and Medicine. Implementing high-quality primary care: rebuilding the foundation of health care. Washington (DC): National Academies Press; 2021.
  3. 3.↵
    1. Bodenheimer T,
    2. Willard-Grace R,
    3. Ghorob A
    . Expanding the roles of medical assistants: who does what in primary care? JAMA Intern Med 2014;174:1025–6.
    OpenUrl
  4. 4.↵
    1. Lai AY,
    2. Fleuren BPI,
    3. Larkin J,
    4. Gruenewald-Schmitz L,
    5. Yuan CT
    . Being “low on the totem pole”: what makes work worthwhile for medical assistants in an era of primary care transformation. Health Care Manage Rev 2022;47:340–9.
    OpenUrl
  5. 5.↵
    U.S. Bureau of Labor Statistics [Internet]. Occupational employment and wages: 31-9092 medical assistants; 2022 [accessed 2022 Sept 15]. Available from: https://www.bls.gov/oes/current/oes319092.htm#ind.
  6. 6.↵
    1. Henry TA
    . Medicine’s great resignation? 1 in 5 doctors plan exit in 2 years [Internet]. American Medical Association; 2022 [accessed 2022 Mar 13]. Available from: https://www.ama-assn.org/practice-management/physician-health/medicine-s-great-resignation-1-5-doctors-plan-exit-2-years.
  7. 7.↵
    1. Skillman SM,
    2. Dahal A,
    3. Frogner BK,
    4. Andrilla CHA
    . Frontline workers' career pathways: a detailed look at Washington state's medical assistant workforce. Med Care Res Rev 2020;77:285–93.
    OpenUrl
  8. 8.↵
    1. Snyder CR,
    2. Dahal A,
    3. Frogner BK
    . Occupational mobility among individuals in entry-level healthcare jobs in the USA. J Adv Nurs 2018;74:1628–38.
    OpenUrl
  9. 9.↵
    1. Prasad K,
    2. McLoughlin C,
    3. Stillman M,
    4. et al
    . Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: a national cross-sectional survey study. EClinicalMedicine 2021;35:100879.
    OpenUrl
  10. 10.↵
    1. Sinsky C,
    2. Brown RL,
    3. Stillman MJ,
    4. Linzer M
    . COVID-related stress and work intentions in a sample of US health care workers. Mayo Clinic Proc 2021;5:1165–73.
    OpenUrl
  11. 11.↵
    Advisory Board [Internet]. The “Great Resignation”: what health care leaders need to know now; 2022 [accessed 2022 Mar 13]. Available from: https://www.advisory.com/daily-briefing/2022/01/07/great-resignation.
  12. 12.↵
    1. Friedman JL,
    2. Neutze D
    . The financial cost of medical assistant turnover in an academic family medicine center. J Am Board Fam Med 2020;33:426–30.
    OpenUrlAbstract/FREE Full Text
  13. 13.↵
    1. Shanafelt T,
    2. Goh J,
    3. Sinsky C
    . The business case for investing in physician well-being. JAMA Intern Med 2017;177:1826–32.
    OpenUrl
  14. 14.↵
    1. Waldman JD,
    2. Kelly F,
    3. Arora S,
    4. Smith HL
    . The shocking cost of turnover in health care: health care management review. Health Care Manage Rev 2004;29:2–7.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Fleuren BPI,
    2. de Grip A,
    3. Jansen NWH,
    4. Kant I,
    5. Zijlstra FRH
    . Unshrouding the sphere from the clouds: towards a comprehensive conceptual framework for sustainable employability. Sustainability 2020;12:6366.
    OpenUrl
  16. 16.↵
    U.S. Bureau of Labor Statistics [Internet]. Occupational outlook handbook: medical Assistants; 2022 [accessed 2022 Mar 14]. Available from: https://www.bls.gov/ooh/healthcare/medical-assistants.htm.
  17. 17.↵
    1. Abma FI,
    2. Brouwer S,
    3. de Vries HJ,
    4. et al
    . The capability set for work: development and validation of a new questionnaire. Scand J Work Environ Health 2016;42:34–42.
    OpenUrl
  18. 18.↵
    1. Ton Z
    . The good jobs strategy: how the smartest companies invest in employees to lower costs and boost profits. Seattle (WA): Lake Union Publishing; 2014.
  19. 19.↵
    Gallup. Not just a job: new evidence on the quality of work in the United States. 2019.
  20. 20.↵
    Good Jobs Institute [Internet]. What is a “good” job?; 2017 [accessed 2022 Mar 13]. Available from: https://goodjobsinstitute.org/what-is-a-good-job/.
  21. 21.↵
    1. Yuan CT,
    2. Lai AY,
    3. Benishek LE,
    4. et al
    . A double-edged sword: the effects of social network ties on job satisfaction in primary care organizations. Health Care Manage Rev 2022;47:180–7.
    OpenUrl
  22. 22.↵
    1. Robertson KM,
    2. O’Reilly J,
    3. Hannah DR
    . Finding meaning in relationships: the impact of network ties and structure on the meaningfulness of work. AMR 2020;45:596–619.
    OpenUrl
  23. 23.↵
    American Association of Medical Assistants. 2021 CMA (AAMA) compensation and benefits report. 2021.
  24. 24.↵
    Target Corporation [Internet]. Target to set new starting wage range and expand access to health care benefits to more team members; 2022 [accessed 2022 Sept 19]. Available from: https://corporate.target.com/press/releases/2022/02/Target-to-Set-New-Starting-Wage-Range-and-Expand-A.
  25. 25.↵
    1. Rodriguez HP,
    2. Meredith LS,
    3. Hamilton AB,
    4. Yano EM,
    5. Rubenstein LV
    . Huddle up! The adoption and use of structured team communication for VA medical home implementation. Health Care Manage Rev 2015;40:286–99.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Lai AY
    . The incomplete, outdated, incorrect, and unknown: mitigating threats of knowledge errors in high-performance primary care. AMD 2021;7:581–602.
    OpenUrl
  27. 27.↵
    1. Chapman S,
    2. Marks A,
    3. Chan M
    . The increasing role of medical assistants in small primary care physican practice: key issues and policy implications. Center for the Health Professions at UCSF; 2010.
  28. 28.↵
    1. Bodenheimer T,
    2. Laing BY
    . The teamlet model of primary care. Ann Fam Med 2007;5:457–61.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Ghorob A,
    2. Bodenheimer T
    . Building teams in primary care: a practical guide. Fam Syst Health 2015;33:182–92.
    OpenUrlPubMed
  30. 30.↵
    1. Nelson K,
    2. Pitaro M,
    3. Tzellas A,
    4. Lum A
    . Transforming the role of medical assistants in chronic disease management. Health Aff 2010;29:963–5.
    OpenUrlFREE Full Text
  31. 31.↵
    1. Dill J,
    2. Craft Morgan J,
    3. Chuang E,
    4. Mingo C
    . Redesigning the role of medical assistants in primary care: challenges and strategies during implementation. Med Care Res Rev 2021;78:240–50.
    OpenUrl
  32. 32.↵
    1. Frogner BK,
    2. Fraher EP,
    3. Spetz J,
    4. et al
    . Modernizing scope-of-practice regulations—time to prioritize patients. N Engl J Med 2020;382:591–3.
    OpenUrlCrossRef
  33. 33.↵
    1. Dill J,
    2. Craft Morgan J,
    3. Chuang E
    . Career ladders for medical assistants in primary care. J Gen Intern Med 2021;36:3423–30.
    OpenUrl
  34. 34.↵
    Vanderbilt University Medical Center. VUMC medical assistant clinical ladder. 2022.
  35. 35.↵
    1. Deci EL,
    2. Olafsen AH,
    3. Ryan RM
    [Internet]. Self-determination theory in work organizations: the state of a science; 2017. Available from: http://dxdoiorg/101146/annurev-orgpsych-032516-113108.
  36. 36.↵
    1. Fraher EP,
    2. Cummings A,
    3. Neutze D
    . The evolving role of medical assistants in primary care practice: divergent and concordant perspectives from MAs and family physicians. Med Care Res Rev 2021;78:7S–17S.
    OpenUrlCrossRef
  37. 37.↵
    1. Figueroa Gray M,
    2. Coleman K,
    3. Walsh-Bailey C,
    4. Girard S,
    5. Lozano P
    . An expanded role for the medical assistant in primary care: evaluating a training pilot. TPJ 2021;25:1–9.
    OpenUrl
  38. 38.↵
    1. Edmondson AC,
    2. Lei ZK
    . Psychological safety: the history, renaissance, and future of an interpersonal construct. Annu Rev Organ Psychol Organ Behav 2014;1:23–43.
    OpenUrlCrossRef
  39. 39.↵
    1. Parker SK,
    2. Van den Broeck A,
    3. Holman D
    . Work design influences: a synthesis of multilevel factors that affect the design of jobs. ANNALS 2017;11:267–308.
    OpenUrlAbstract/FREE Full Text
  40. 40.↵
    1. Parker SK
    . Beyond motivation: job and work design for development, health, ambidexterity, and more. Annu Rev Psychol 2014;65:661–91.
    OpenUrlCrossRefPubMed
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