Evidence map›Paper›PMID 42427138›Full record

ReviewThe Australian journal of rural health2026

Physician Assistants in Australia. Function and Friction in Australian Healthcare: An Integrative Review.

Shannon Widderick, Amy-Louise Byrne, Tracy Flenady

Abstract readReview
In one paragraph

Review in The Australian journal of rural health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shannon WidderickCentral Queensland Hospital and Health Service, Rockhampton, Queensland, Australia.
Amy-Louise ByrneSchool of Nursing, Midwifery and Social Sciences, CQUniversity, Sydney, New South Wales, Australia.ORCID 0000-0002-8679-8310
Tracy FlenadySchool of Nursing, Midwifery and Social Sciences, CQUniversity, Rockhampton, Queensland, Australia.ORCID 0000-0002-5286-4789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAustralia's ongoing healthcare workforce shortages have prompted exploration of alternative models of care. One such model is the Physician Assistant (PA), a role established and trialled internationally but inconsistently implemented in Australia. OBJECTIVE

designTo examine the role, function and professional positioning of PAs within the Australian healthcare system.

designIntegrative review, guided by Whittemore and Knafl's (2005) framework.

findingsLimited evidence of PA use in Australia was found. Of the identified literature, findings reveal that PAs have contributed across diverse clinical settings in Australia, including emergency departments, surgical units, and primary care, particularly in underserved and rural areas. Their scope of practice has spanned diagnostic, procedural, and care coordination roles, delivered under varying levels of medical supervision.

conclusionThere is limited evidence on the use of PAs in Australia. Despite some positive outcomes, significant barriers, such as professional resistance and concerns about patient safety, role ambiguity, and lack of national regulation, have hindered broader adoption.

Indexed as

Physician AssistantsProfessional RoleRural Health ServicesAustraliaHumansScope of PracticeAustraliamid‐level providerphysician assistantruralworkforce

Identifiers

PMID42427138
PMCPMC13351787

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.