Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.
Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.
Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.
Date of Graduation
Capstone Project (On-Campus Access Only)
Master of Science in Physician Assistant Studies
The role of midlevel providers has not been used in the healthcare system of Ecuador. This project used a retrospective review of public health records, and a survey. The study examined whether there was a need to improve access to primary care in the clinics. of urban and rural communities of Guayaquil, Ecuador and whether midlevel providers could facilitate healthcare delivery in primary care. It was determined that access to primary care is limited, and that access could be improved by increasing the number of providers. It was also determined that the healthcare delivered in primary care is similar to that provided by midlevel clinicians in the US, making midlevel physicians a suitable choice to enhance the current workforce in the public health system of Guayaquil. .
Stolcis, Kay, "Assessment of Health Care Access in the Public Health Clinics of Guayaquil, Ecuador" (2004). School of Physician Assistant Studies. 105.