| Autor: |
Turi E; University of Pennsylvania Perelman School of Medicine, 423 Guardian Drive, Philadelphia, PA, 19104., McMenamin AL; Columbia University School of Nursing, 560 W 168 Street, New York, NY, 10032., Courtwright S; Columbia University School of Nursing, 560 W 168 Street, New York, NY, 10032., Martsolf G; University of Pittsburgh School of Nursing, 3500 Victoria Street, Pittsburgh, PA, 15213., Liu J; Columbia University School of Nursing, 560 W 168 Street, New York, NY, 10032., Hasin D; Columbia University Department of Psychiatry, 1051 Riverside Drive, New York, NY, 10032.; Columbia University Mailman School of Public Health, 722 W 168 Street, New York, NY, 10032., Poghosyan L; Columbia University School of Nursing, 560 W 168 Street, New York, NY, 10032.; Columbia University Mailman School of Public Health, 722 W 168 Street, New York, NY, 10032. |
| Abstrakt: |
We examined the relationship between the nurse practitioner (NP) work environment and realized access (i.e., utilization) to primary care among rural older adults with substance use disorders (SUD). We analyzed cross-sectional NP survey data merged with Medicare claims and utilized fractional logistic regression. With one unit improvement in NP work environment, the odds of having older adults with SUDs in the practice increased by 20% (adjusted odds ratio=1.20, 95% confidence interval=1.01-1.44, p=0.04). Favorable work environments for NPs, including organizational support, collegiality, and role visibility, are associated with increased realized access to primary care among rural older adults with SUDs. |
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