# A Call to Recognize the Integral Role of Physician Associates and Nurse Practitioners in Modern Health Care: Editorial

## TL;DR

This editorial argues for the full recognition and inclusion of physician associates and nurse practitioners in healthcare decisions to improve quality and equity.

## Contribution

The paper advocates for standardized credentialing and participatory policies to integrate PAs and NPs into healthcare leadership.

## Key findings

- Evidence from the U.S. shows PAs and NPs provide care comparable to physicians.
- Current UK data lacks localized, high-quality evidence on PA and NP effectiveness.
- Meaningful stakeholder representation is essential for equitable and quality healthcare.

## Abstract

Policies governing health care professionals must be evidence-informed and include meaningful representation of all stakeholders, or commitments to quality and equity will remain shallow rhetoric. Physician associates (PAs), nurse practitioners (NPs), and patients deserve full participation in decisions affecting practice and patient care. The current health care landscape faces unprecedented workforce challenges, requiring a shift toward evidence-informed policy and the meaningful representation of all stakeholders. This editorial aims to advocate for the full participation of PAs, NPs, or advanced practice providers and patient representatives in clinical and policy decisions, contrasting established global models with emerging frameworks to promote a more practical, team-based hierarchy. While recent reviews in the United Kingdom highlight a lack of localized, high-quality data, extensive evidence from the United States and other international contexts demonstrates that PAs and NPs provide safe, effective care with clinical outcomes comparable to physicians. We argue that recognizing these professionals as integral members of the health care workforce, rather than mere stopgaps, is essential for improving care quality and patient well-being. This editorial recommends standardized credentialing, integrated educational pathways, and the inclusion of patient representatives as voting members in policy decisions to foster a truly participatory medicine model.