Division of primary care services between physicians, physician assistants, and nurse practitioners for older patients with diabetes. Med Care Res Rev 2013 Oct;70(5):531-41
Date
07/23/2013Pubmed ID
23868081Pubmed Central ID
PMC3902998DOI
10.1177/1077558713495453Scopus ID
2-s2.0-84885161168 (requires institutional sign-in at Scopus site) 41 CitationsAbstract
Team-based care involving physician assistants and/or nurse practitioners (PA/NPs) in the patient-centered medical home is one approach to improving care quality. However, little is known about how to incorporate PA/NPs into primary care teams. Using data from a large physician group, we describe the division of patients and services (e.g., acute, chronic, preventive, other) between primary care providers for older diabetes patients on panels with varying levels of PA/NP involvement (i.e., no role, supplemental provider, or usual provider of care). Panels with PA/NP usual providers had higher proportions of patients with Medicaid, disability, and depression. Patients with physician usual providers had similar probabilities of visits with supplemental PA/NPs and physicians for all service types. However, patients with PA/NP usual providers had higher probabilities of visits with a supplemental physician. Understanding how patients and services are divided between PA/NPs and physicians will assist in defining provider roles on primary care teams.
Author List
Everett CM, Thorpe CT, Palta M, Carayon P, Gilchrist VJ, Smith MAAuthor
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
AgedAged, 80 and over
Diabetes Mellitus
Female
Humans
Male
Middle Aged
Nurse Practitioners
Patient Care Team
Physician Assistants
Physicians, Primary Care
Primary Health Care
United States
