Factors Associated With Having a Physician, Nurse Practitioner, or Physician Assistant as Primary Care Provider for Veterans With Diabetes Mellitus
| Autor: | Perri Morgan PhD, PA-C, Christine M. Everett PhD, MPH, PA-C, Valerie A. Smith DrPH, Sandra Woolson MPH, David Edelman MD, MHS, Cristina C. Hendrix DNS, GNP-BC, FAAN, Theodore S. Z. Berkowitz MS, Brandolyn White MPH, George L. Jackson PhD, MHA |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 54 (2017) |
| Druh dokumentu: | article |
| ISSN: | 0046-9580 1945-7243 00469580 |
| DOI: | 10.1177/0046958017712762 |
| Popis: | Expanded use of nurse practitioners (NPs) and physician assistants (PAs) is a potential solution to workforce issues, but little is known about how NPs and PAs can best be used. Our study examines whether medical and social complexity of patients is associated with whether their primary care provider (PCP) type is a physician, NP, or PA. In this national retrospective cohort study, we use 2012-2013 national Veterans Administration (VA) electronic health record data from 374 223 veterans to examine whether PCP type is associated with patient, clinic, and state-level factors representing medical and social complexity, adjusting for all variables simultaneously using a generalized logit model. Results indicate that patients with physician PCPs are modestly more medically complex than those with NP or PA PCPs. For the group having a Diagnostic Cost Group (DCG) score >2.0 compared with the group having DCG |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|