Relationship of Clinician Care Team Composition and Diabetes Quality Outcomes
| Autor: | Tom D. Thacher, Marc R. Matthews, Darshan Nagaraju, Steven L. Rosas, Michelle A. Lampman, Kurt B. Angstman, Gerald J. Sobolik, Jennifer L. Horn, Gregory M. Garrison, Michael P. Halasy, Benjamin D Meyerink, Kristin Fischer, Randy M. Foss, David R. Rushlow, Susan B. Laabs, Julie A. Maxson |
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| Rok vydání: | 2020 |
| Předmět: |
Team composition
Patient Care Team medicine.medical_specialty Leadership and Management Nurse practitioners business.industry Health Policy media_common.quotation_subject education Public Health Environmental and Occupational Health medicine.disease Health care delivery Cross-Sectional Studies Physician Assistants Diabetes mellitus Family medicine medicine Diabetes Mellitus Humans Quality (business) Nurse Practitioners Physician assistants business media_common Retrospective Studies |
| Zdroj: | Population health management. 24(4) |
| ISSN: | 1942-7905 |
| Popis: | The objective was to determine if a greater proportion of physician full-time equivalent (FTE%) relative to nurse practitioners/physician assistants (NPs/PAs) on care teams was associated with improved individual clinician diabetes quality outcomes. The authors conducted a retrospective cross-sectional study of 420 family medicine clinicians in 110 care teams in a Midwest health system, using administrative data from January 1, 2017 to December 31, 2017. Poisson regression was used to examine the relationship between physician FTE% and the number of patients meeting 5 criteria included in a composite metric for diabetes management (D5). Covariates included panel size, clinician type, sex, years in practice, region, patient satisfaction, care team size, rural location, and panel complexity. Of the 420 clinicians, 167 (40%) were NP/PA staff and 253 (60%) were physicians. D5 criteria were achieved in 37.9% of NP/PA panels compared with 44.5% of physician panels ( |
| Databáze: | OpenAIRE |
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