Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician's assistants.

Abstract:

PURPOSE:The aim of this study was to assess whether the quality of diabetes care differs among practices employing nurse-practitioners (NPs), physician's assistants (PAs), or neither, and which practice attributes contribute to any differences in care. METHODS:This cross-sectional study of 46 family medicine practices from New Jersey and Pennsylvania measured adherence to American Diabetes Association diabetes guidelines via chart audits of 846 patients with diabetes. Practice characteristics were identified by staff surveys. Hierarchical models determined differences between practices with and without NPs or PAs. RESULTS:Compared with practices employing PAs, practices employing NPs were more likely to measure hemoglobin A(1c) levels (66% vs 33%), lipid levels (80% vs 58%), and urinary microalbumin levels (32% vs 6%); to have treated for high lipid levels (77% vs 56%); and to have patients attain lipid targets (54% vs 37%) (P

journal_name

Ann Fam Med

authors

Ohman-Strickland PA,Orzano AJ,Hudson SV,Solberg LI,DiCiccio-Bloom B,O'Malley D,Tallia AF,Balasubramanian BA,Crabtree BF

doi

10.1370/afm.758

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

14-22

issue

1

eissn

1544-1709

issn

1544-1717

pii

6/1/14

journal_volume

6

pub_type

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