Division of primary care services between physicians, physician assistants, and nurse practitioners

Authors, Primary Everett,Christine M.;Thorpe,Carolyn T.;Palta,Mari;Carayon,Pascale;Gilchrist,Valerie J.;Smith,Maureen A.
Title Primary Division of primary care services between physicians, physician assistants, and nurse practitioners for older patients with diabetes.
Periodical Full Medical Care Research and Review
Pub Year 2008
Volume 70
issue 5
Start Page 531
Abstract 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. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract)
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Place of Publication Not Available
Author/Address Everett, Christine M.: cmeverett@wisc.edu; Everett, Christine M.: University of Wisconsin-Madison, Madison, WI, US Thorpe, Carolyn T.: University of Pittsburgh School of Pharmacy, Pittsburgh, PA, US Palta, Mari: University of Wisconsin-Madison, (TRUNCATED)
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Primary Care Workforce Issues;Team Based Health Care
Special Population(s) Medicare Beneficiaries;Individuals with Multiple Chronic Conditions
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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