Literature DB >> 26564816

Trends in Nurse Practitioner and Physician Assistant Practice in Nursing Homes, 2000-2010.

Orna Intrator1,2,3, Edward Alan Miller3,4,5, Emily Gadbois5,6, Joseph Kofi Acquah7, Rajesh Makineni3,5,8, Denise Tyler3,5,8.   

Abstract

OBJECTIVE: To examine nurse practitioner (NP) and physician assistant (PA) practice in nursing homes (NHs) during 2000-2010. DATA SOURCES: Data were derived from the Online Survey Certification and Reporting system and Medicare Part B claims (20 percent sample).
METHODS: NP/PA state average employment, visit per bed year (VPBY), and providers per NH were examined. State fixed-effect models examined the association between state regulations and NP/PA use. PRINCIPAL
FINDINGS: NHs using any NPs/PAs increased from 20.4 to 35.0 percent during 2000-2010. Average NP/PA VPBY increased from 1.0/0.3 to 3.0/0.6 during 2000-2010. Average number of NPs/PAs per NH increased from 0.2/0.09 to 0.5/0.14 during 2000-2010. The impact of state scope-of-practice regulations was mixed.
CONCLUSIONS: NP and PA scope-of-practice regulations impact their practice in NHs, not always as intended. © Health Research and Educational Trust.

Entities:  

Keywords:  Medicare claims; Online Survey Certification and Reporting (OSCAR) system; organization of medical staff; physician visits in nursing homes; scope-of-practice

Mesh：

Year:  2015        PMID： 26564816      PMCID： PMC4693846          DOI： 10.1111/1475-6773.12410

Source DB:  PubMed          Journal:  Health Serv Res        ISSN： 0017-9124            Impact factor:   3.402


  13 in total

1.  Economic and demographic trends signal an impending physician shortage.

Authors:  Richard A Cooper; Thomas E Getzen; Heather J McKee; Prakash Laud
Journal:  Health Aff (Millwood)       Date:  2002 Jan-Feb       Impact factor: 6.301

2.  Physician and nurse staffing in nursing homes: the role and limitations of the Online Survey Certification and Reporting (OSCAR) system.

Authors:  Zhanlian Feng; Paul R Katz; Orna Intrator; Jurgis Karuza; Vincent Mor
Journal:  J Am Med Dir Assoc       Date:  2005 Jan-Feb       Impact factor: 4.669

3.  Experts recommend strategies for strengthening the use of advanced practice nurses in nursing homes.

Authors:  Mathy Mezey; Sarah Greene Burger; Harrison G Bloom; Alice Bonner; Mary Bourbonniere; Barbara Bowers; Jeffrey B Burl; Elizabeth Capezuti; Diane Carter; Jacob Dimant; Sarah A Jerro; Susan C Reinhard; Marilyn Ter Maat
Journal:  J Am Geriatr Soc       Date:  2005-10       Impact factor: 5.562

4.  Advanced practice nurses and attending physicians: a collaboration to improve quality of care in the nursing home.

Authors:  Carolyn Philpot; Debbie Tolson; John E Morley
Journal:  J Am Med Dir Assoc       Date:  2011-01-15       Impact factor: 4.669

5.  Factors associated with the use of advanced practice nurses/physician assistants in a fee-for-service nursing home practice: a comparison with primary care physicians.

Authors:  Debra Bakerjian; Charlene Harrington
Journal:  Res Gerontol Nurs       Date:  2012-06-15       Impact factor: 1.571

6.  Nursing home environment and organizational performance: association with deficiency citations.

Authors:  Helena Temkin-Greener; Nan Tracy Zheng; Shubing Cai; Hongwei Zhao; Dana B Mukamel
Journal:  Med Care       Date:  2010-04       Impact factor: 2.983

7.  Primary care for elderly people: why do doctors find it so hard?

Authors:  Wendy L Adams; Helen E McIlvain; Naomi L Lacy; Homa Magsi; Benjamin F Crabtree; Sharon K Yenny; Michael A Sitorius
Journal:  Gerontologist       Date:  2002-12

8.  Hospitalizations of nursing home residents in the last year of life: nursing home characteristics and variation in potentially avoidable hospitalizations.

Authors:  Jingping Xing; Dana B Mukamel; Helena Temkin-Greener
Journal:  J Am Geriatr Soc       Date:  2013-11-05       Impact factor: 5.562

9.  Nursing home characteristics and potentially preventable hospitalizations of long-stay residents.

Authors:  Orna Intrator; Jacqueline Zinn; Vincent Mor
Journal:  J Am Geriatr Soc       Date:  2004-10       Impact factor: 5.562

10.  Utilization of nurse practitioners in long-term care: findings and implications of a national survey.

Authors:  Peri Rosenfeld; Mia Kobayashi; Patricia Barber; Mathy Mezey
Journal:  J Am Med Dir Assoc       Date:  2004 Jan-Feb       Impact factor: 4.669
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  7 in total

1.  Best of the 2015 AcademyHealth Annual Research Meeting.

Authors:  Patrick S Romano; Jacqueline S Zinn
Journal:  Health Serv Res       Date:  2015-12       Impact factor: 3.402

2.  Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores.

Authors:  Kira L Ryskina; Christine Lam; Hye-Young Jung
Journal:  J Am Med Dir Assoc       Date:  2019-02-07       Impact factor: 4.669

3.  Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes.

Authors:  Katherine S McGilton; Alexandra Krassikova; Aria Wills; Vanessa Durante; Lydia Yeung; Shirin Vellani; Souraya Sidani; Astrid Escrig-Pinol
Journal:  J Appl Gerontol       Date:  2022-06-25

Review 4.  The Advanced Practice Registered Nurse Leadership Role in Nursing Homes: Leading Efforts Toward High Quality and Safe Care.

Authors:  Deb Bakerjian
Journal:  Nurs Clin North Am       Date:  2022-05-04       Impact factor: 1.617

5.  Nursing Home Clinicians' Decision to Prescribe Antibiotics for a Suspected Urinary Tract Infection: Findings From a Discrete Choice Experiment.

Authors:  Christine E Kistler; Anna S Beeber; Sheryl Zimmerman; Kimberly Ward; Claire E Farel; Keith Chrzan; Christopher J Wretman; Marcella H Boynton; Michael Pignone; Philip D Sloane
Journal:  J Am Med Dir Assoc       Date:  2020-01-20       Impact factor: 4.669

6.  Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: protocol for a realist evaluation case study.

Authors:  Marleen Hermien Lovink; Anke Persoon; Anneke J A H van Vught; Lisette Schoonhoven; Raymond T C M Koopmans; Miranda G H Laurant
Journal:  BMJ Open       Date:  2017-06-08       Impact factor: 2.692

7.  Skill mix change between physicians, nurse practitioners, physician assistants, and nurses in nursing homes: A qualitative study.

Authors:  Marleen H Lovink; Anneke J A H van Vught; Anke Persoon; Raymond T C M Koopmans; Miranda G H Laurant; Lisette Schoonhoven
Journal:  Nurs Health Sci       Date:  2019-04-01       Impact factor: 1.857
  7 in total

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