The majority of respondents, 59%, (n=258) believed a mid-level provider
was needed in Oregon and 43% of those individuals (n=186) were personally interested in becoming a midlevel provider.
Therefore, primary care physicians sometimes view mid-level providers
as competitors rather than allies and partners.
The question of the need for a mid-level provider
in Oregon cannot adequately be addressed by this survey alone.
Among those who said they would seek care from a mid-level provider
for themselves, a few did have hesitations about taking their children to one.
Keywords: maternal mortality, community-based programmes and interventions, mid-level providers
, vital statistics, verbal autopsy, Ethiopia
THE papers in this journal issue are about innovative efforts to increase access to skilled reproductive health care, particularly in resource-poor settings, either 1) where physicians are in short supply, or 2) when physicians are not needed because the skills involved in a procedure have been simplified to the point where trained mid-level providers
can carry them out instead.
Alternative rounding and call coverage arrangements frequently utilize mid-level providers
or non-subspecialty physicians.
This paper reviews the literature on this topic and documents existing programmes for task shifting anaesthesia services to mid-level providers
in South Asia to increase access to emergency obstetric care and reduce maternal mortality.
Many stakeholders and dental providers continue to have questions about the ADHP model so the JDH is taking the lead and publishing articles that will further explain and define this mid-level provider
Periodically, drafts were submitted to an advisory group comprised of persons representing diverse backgrounds and holding a range of beliefs regarding mid-level providers
, as well as to the ADHA Board of Trustees and to ADHA members.
In addition to mid-level provider
interest and the necessary policy changes, an enabling environment, including the support of physicians, is critical.
The purpose of this article is to provide a picture of the mid-level provider
in states where the most progress is being made at the current time, fall 2012.