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Tytuł:
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Differences in the number of services provided by nurse practitioners and physicians during primary care visits.
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Autorzy:
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Patel E; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MA.
Kandrack R; Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: .
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Źródło:
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Nursing outlook [Nurs Outlook] 2021 Sep-Oct; Vol. 69 (5), pp. 886-891. Date of Electronic Publication: 2021 Jun 04.
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Typ publikacji:
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Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.
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Język:
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English
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Imprint Name(s):
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Publication: St. Louis, Mo : Mosby
Original Publication: New York, American Journal of Nursing Co.
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MeSH Terms:
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Nurse Practitioners*
Physicians, Primary Care*
Office Visits/*statistics & numerical data
Practice Patterns, Nurses'/*statistics & numerical data
Practice Patterns, Physicians'/*statistics & numerical data
Primary Health Care/*statistics & numerical data
Adult ; Facilities and Services Utilization ; Female ; Health Care Surveys ; Humans ; Male
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Grant Information:
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T32 HS000032 United States HS AHRQ HHS
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Contributed Indexing:
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Keywords: Ambulatory Care; Nurse practitioners; Physicians; Practice patterns; Primary Care
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Entry Date(s):
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Date Created: 20210607 Date Completed: 20211105 Latest Revision: 20211105
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Update Code:
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20240105
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DOI:
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10.1016/j.outlook.2021.04.003
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PMID:
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34092371
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Background: Due to differential training, nurse practitioners (NPs) and physicians may provide different quantities of services to patients.
Purpose: To assess differences in the number of laboratory, imagining, and procedural services provided by primary care NPs and physicians.
Methods: Secondary analysis of 2012-2016 National Ambulatory Medical Care Survey (NAMCS), containing 308 NP-only and 73,099 physician-only patient visits, using multivariable regression and propensity score techniques.
Findings: On average, primary care visits with NPs versus physicians were associated with 0.521 fewer laboratory (95% CI -0.849, -0.192), and 0.078 fewer imaging services (95% CI -0.103,-0.052). Visits for routine and preventive care with NPs versus physicians were associated with 1.345 fewer laboratory (95% CI -2.037,-0.654), and 0.086 fewer imaging services (95% CI -0.118,-0.054) on average. Primary care visits for new problems with NPs versus physicians were associated with 0.051 fewer imaging services (95% CI -0.094,-0.007) on average.
Discussion: NPs provide fewer laboratory and imaging services than physicians during primary care visits.
(Copyright © 2021 Elsevier Inc. All rights reserved.)