Objectives: The objective of this study was to determine if outcomes of care for nursing home residents differ between two groups of providers: nurse practitioners/physicians and physicians only.
Design: We conducted a retrospective chart review covering the 12-month period from September 1, 1997, until August 31, 1998.
Setting: We studied eight nursing homes in central Texas.
Participants: Two hundred three residents were randomly selected who resided in one of the eight nursing homes during the specified time period.
Statistical Analysis: We used chi-squared or Fisher exact test for comparisons of percent and Student t test for comparison of means; comparisons were made with both the FREQ procedure and the univariate procedure.
Results: Acute visits were significantly higher for the nurse practitioner/physician team (3.0 +/- 2.4) versus the physician-only group (1.2 +/- 1.5). The nurse practitioner/physician group treated significantly more eye, ear, nose, and throat and dermatologic diagnoses than the physician-only group. Emergency department visits, emergency department costs, hospitalizations, length of stay, hospital costs, performance of mandated progress visits, and performance of annual history and physicals did not show significant differences between the two groups.
Conclusion: The level of care provided for patients by the two groups of providers was basically the same and of similar quality; however, the nurse practitioner/physician group patients were seen more often. Increased visits by nurse practitioners are assumed to result in time and cost savings for physicians and improved access to care for patients.
Download full-text PDF |
Source |
---|
Front Pediatr
December 2024
Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
Introduction: Given the challenges in diagnosing children with long COVID, we sought to explore diagnostic practices and preferences among clinicians.
Methods: A ten-question survey assessed pediatric providers' clinical decision making for identifying and evaluating long COVID in children. Of the 120 survey respondents, 84 (70%) were physicians, 31 (26%) nurse practitioners, and 5 (4%) physician assistants.
J Gen Intern Med
January 2025
VA Puget Sound Health Care System, Seattle, WA, USA.
Background: Prior research has shown that primary care clinicians (PCPs) spend a large portion of clinic visits on tasks within the electronic health record (EHR). However, no time allocation studies have been done in the Veterans Health Administration (VHA) and little is known about EHR time spent during virtual visits.
Objective: To estimate the proportion of clinician time spent working within the EHR during primary care visits at VHA clinics.
Background: Primary care physicians (PCPs) and nurse practitioners play a key role in guiding caregivers on early peanut protein (PP) introduction, yet many lack adequate knowledge.
Aim Statement: This quality improvement study aimed to enhance understanding among PCPs and caregivers about evidence-based guidelines for early PP introduction in infants' diets.
Methods: Using the Stetler Model, PCP knowledge was evaluated through pre-test, educational video and some posttest material.
Advanced practice providers (APPs) experience limited clinical opportunities to perform neonatal procedures to maintain competency and hospital credentialing, especially high-acuity procedures that are extremely rare but crucial during patient emergencies. Incorporating simulation as part of continuing professional education can help APPs maintain clinical procedural competency and learn new procedural techniques to improve the quality and safety of procedures performed in the clinical setting. In 2013, we successfully developed and implemented an annual didactic and simulation-based neonatal procedural skills program.
View Article and Find Full Text PDFBreastfeed Med
January 2025
Divisions of Breastfeeding and Lactation Medicine and Allergy Immunology, Department of Pediatrics, University of Rochester, Rochester, New York, USA.
Breastfeeding and Lactation Medicine (BFLM) programs at academic medical centers are uncommon but expanding. Our academic medical center, with a long legacy of leadership in BFLM, established a BFLM program in 2016 and launched a dedicated division in 2022. To describe the strategy, services, measures, and challenges facing our multidisciplinary academic BFLM program in its first 8 years.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!