Employment of mid-level providers in primary care and control of diabetes
Posted on Wed, Mar 30, 2011
Primary Care Diabetes, 03/30/2011
Jackson GL et al. - Diabetes control among primary care patients appeared to benefit from inclusion of nurse practitioners (NPs), while an analogous association was not found for physician assistants (PAs).
Methods
- A cohort of diabetes patients (alive October 1, 1999) using the Veterans Affairs (VA) Diabetes Registry and VA corporate databases was established.
- 1999 VA Survey of Primary Care Practices data were combined with individual-patient information.
- Two-level hierarchical model to determine the relationship between staffing characteristics and hemoglobin A1c (HbA1c) was used.
- 88,682 patients from 198 clinics were enrolled.
Results
- NPs at relatively limited levels (% of all providers who are NPs) in the primary ...read more
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