Trends in Nurse Practitioner and Physician Assistant Practice in Nursing Homes, 2000-2010.

Autor: Intrator O; Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, NY.; Canandaigua VA Medical Center, Canandaigua, NY.; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI., Miller EA; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.; Department of Gerontology and Gerontology Institute, John W. McCormack Graduate School of Policy & Global Studies, University of Massachusetts Boston, Boston, MA.; Center for Gerontology & Health Care Research, Brown University School of Public Health, Providence, RI., Gadbois E; Center for Gerontology & Health Care Research, Brown University School of Public Health, Providence, RI.; Department of Gerontology, John W. McCormack Graduate School of Policy & Global Studies, University of Massachusetts Boston, Boston, MA., Acquah JK; Department of Economics, Brown University, Providence, RI., Makineni R; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.; Center for Gerontology & Health Care Research, Brown University School of Public Health, Providence, RI.; ProvidenceVA Medical Center, Providence, RI., Tyler D; Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.; Center for Gerontology & Health Care Research, Brown University School of Public Health, Providence, RI.; ProvidenceVA Medical Center, Providence, RI.
Jazyk: angličtina
Zdroj: Health services research [Health Serv Res] 2015 Dec; Vol. 50 (6), pp. 1772-86. Date of Electronic Publication: 2015 Nov 13.
DOI: 10.1111/1475-6773.12410
Abstrakt: Objective: To examine nurse practitioner (NP) and physician assistant (PA) practice in nursing homes (NHs) during 2000-2010.
Data Sources: Data were derived from the Online Survey Certification and Reporting system and Medicare Part B claims (20 percent sample).
Methods: NP/PA state average employment, visit per bed year (VPBY), and providers per NH were examined. State fixed-effect models examined the association between state regulations and NP/PA use.
Principal Findings: NHs using any NPs/PAs increased from 20.4 to 35.0 percent during 2000-2010. Average NP/PA VPBY increased from 1.0/0.3 to 3.0/0.6 during 2000-2010. Average number of NPs/PAs per NH increased from 0.2/0.09 to 0.5/0.14 during 2000-2010. The impact of state scope-of-practice regulations was mixed.
Conclusions: NP and PA scope-of-practice regulations impact their practice in NHs, not always as intended.
(© Health Research and Educational Trust.)
Databáze: MEDLINE
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