ArticleMedical care2015
Potentially Preventable Hospitalizations in Medicare Patients With Diabetes: A Comparison of Primary Care Provided by Nurse Practitioners Versus Physicians.
Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of nurse practitioners in primary care on patients with chronic diseases in rural and underserved areas: A systematic review.The European journal of general practice · 2026Pooled it
- Nurse Practitioner Care Environments and Provider Shortages Among Patients With Multiple Chronic Conditions.Research in nursing & health · 2025Article
- The role of restrictive scope-of-practice regulations on the delivery of nurse practitioner-delivered home-based primary care.Journal of the American Geriatrics Society · 2023Article
- Article
- Current status of prevention and treatment of respiratory diseases in primary care in China: a cross-sectional study.BMC pulmonary medicine · 2022Article
- Visual Impairment and Self-Efficacy in Diabetes Management.The science of diabetes self-management and care · 2021Article
- Use of a State Registry to Compare Practices of Physicians and Nurse Practitioners in Completing Physician Orders for Life-Sustaining Treatment Forms.Journal of palliative medicine · 2021Observational
- Potentially inappropriate medication prescribing by nurse practitioners and physicians.Journal of the American Geriatrics Society · 2021Article
- The Effect of Supervision Waivers on Practice: A Survey of Massachusetts Nurse Practitioners During the COVID-19 Pandemic.Medical care · 2021Article
- Mental Health Conditions and Hospitalizations for Ambulatory Care Sensitive Conditions Among Veterans with Diabetes.American health & drug benefits · 2020Article
- Processes and outcomes of diabetes mellitus care by different types of team primary care models.PloS one · 2020Article
- Comparison of Functional Status Improvements Among Patients With Stroke Receiving Postacute Care in Inpatient Rehabilitation vs Skilled Nursing Facilities.JAMA network open · 2019Article
- Trends in Diabetes-Related Potentially Preventable Hospitalizations in Adult Population in Spain, 1997⁻2015: A Nation-Wide Population-Based Study.Journal of clinical medicine · 2019Article
- The Effects of Nurse-Led Multidisciplinary Team Management on Glycosylated Hemoglobin, Quality of Life, Hospitalization, and Help-Seeking Behavior of People with Diabetes Mellitus.Journal of diabetes research · 2019Article
- Nurse Practitioner Practice Environments in Primary Care and Quality of Care for Chronic Diseases.Medical care · 2018Article
- Nurse Practitioners, Physician Assistants, and Physicians Are Comparable in Managing the First Five Years of Diabetes.The American journal of medicine · 2018Article
- Processes and Outcomes of Congestive Heart Failure Care by Different Types of Primary Care Models.Journal of cardiac failure · 2018Article
- The Coming Primary Care Revolution.Journal of general internal medicine · 2017Article
- Factors Associated With Seeking Physician Care by Medicare Beneficiaries Who Receive All Their Primary Care From Nurse Practitioners.Journal of primary care & community health · 2016Article
- Quality and Safety of Nurse Practitioner Care: The Case for Full Practice Authority in Pennsylvania.The Pennsylvania nurse · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundFew comparisons exist of the quality of primary care provided by nurse practitioners (NPs) versus physicians.
methodsPatients with a diagnosis of diabetes in 2007-2010 (n=345,819) who received all primary care from NPs or from generalist physicians in a given year were selected from a national sample of Medicare beneficiaries. We compared the rate of potentially preventable hospitalizations among patients who received primary care from NPs versus generalist physicians. Various statistical methods-including multivariable analysis, inverse probability weighting of propensity score, nonpooling propensity score adjustment and matching, and instrumental variable (IV) analysis-were used to control for differences in patient characteristics between the 2 groups.
resultsPatients who received all of their primary care from NPs or from physicians differed by age, sex, race/ethnicity, socioeconomic status, residential area, and number of provider visits in the previous year. Nonpooling propensity score matching substantially reduced the differences, but neither IV approach satisfactorily reduced the differences. In multivariable analyses, receipt of primary care from an NP was associated with a decreased risk of hospitalization for potentially preventable conditions (OR: 0.90; 95% CI, 0.87-0.93). Similar results were found using conditional logistic regression models with propensity methods. We found smaller reductions in our analyses of "other hospitalizations" (OR: 0.96; 95% CI, 0.95-0.98). Both IV analyses showed associations between NP care and lower potentially preventable hospitalizations, but only 1 result was statistically significant.
conclusionsUsing potentially preventable hospitalizations as a quality indicator, primary care provided by NPs was at least comparable with that provided by generalist physicians.
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