Primary care provider type: Are there differences in patients' intermediate diabetes outcomes? JAAPA 2019 Jun;32(6):36-42
Date
05/29/2019Pubmed ID
31136399DOI
10.1097/01.JAA.0000558239.06875.0bScopus ID
2-s2.0-85067296740 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
Growing demand for services is leading primary care organizations to explore new delivery models. One approach incorporates multiple primary care providers on a team. Effective incorporation of multiple clinicians into teams requires well-defined roles, including the usual provider (who provides the majority of primary care) and supplemental providers (who provide a minority of primary care visits). Using data from the Veterans Health Administration, we examined whether differences in diabetes outcomes exist among patients with different types of primary and supplemental providers (physicians, physician assistants (PAs), and NPs). No clinically meaningful differences were observed based on the profession of the usual provider or supplemental provider, or whether physicians provided supplemental care to patients with PAs or NPs as usual providers. These results suggest that physicians, PAs, and NPs can perform a variety of roles depending on the needs of the organization and patient population.
Author List
Everett CM, Morgan P, Smith VA, Woolson S, Edelman D, Hendrix CC, Berkowitz T, White B, Jackson GLAuthor
Christine M. Everett PhD, PAC Chief, Director, Professor in the Health Sciences Education department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedCholesterol, LDL
Diabetes Mellitus
Disease Management
Female
Humans
Male
Middle Aged
Nurse Practitioners
Patient Care Team
Physician Assistants
Physicians, Primary Care
Primary Health Care
United States
United States Department of Veterans Affairs
