ArticleHealth services research2019
Medication adherence, costs, and ER visits of nurse practitioner and primary care physician patients: Evidence from three cohorts of Medicare beneficiaries.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Measuring Nursing Productivity Based on a Review of the Literature: A Pilot Study.Health science reports · 2026Article
- Compliance with clinical guidelines: the role of incentives and competition between practitioners.The European journal of health economics : HEPAC : health economics in prevention and care · 2025Article
- Advanced Practice Nurses in Primary Care and Their Impact on Health Service Utilisation, Costs and Access Globally: A Scoping Review.Journal of clinical nursing · 2025Article
- A Case for Specific Education of Advanced Practice Providers in Allergy & Immunology: Results of a Gap Analysis and Targeted Needs Assessment.MedEdPublish (2016) · 2024Article
- The practice environment of primary care nurses: A cross-sectional study of five health care districts in San Paulo, Brazil.International journal of nursing studies advances · 2023Article
- Advanced practice clinician care and end-of-life outcomes for community- and nursing home-dwelling Medicare beneficiaries with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Comparison of Ambulatory Quality Measures Between Shared Practice Panels and Independent Practice Panels.Mayo Clinic proceedings. Innovations, quality & outcomes · 2023Article
- Association between hospital-physician vertical integration and medication adherence rates.Health services research · 2023Article
- Hospitalizations for Ambulatory Care Sensitive Conditions in a Large City of Japan: a Descriptive Analysis Using Claims Data.Journal of general internal medicine · 2022Observational
- Towards better reporting of the proportion of days covered method in cardiovascular medication adherence: A scoping review and new tool TEN-SPIDERS.British journal of clinical pharmacology · 2022Article
- Potentially inappropriate medication prescribing by nurse practitioners and physicians.Journal of the American Geriatrics Society · 2021Article
- Treatment Adherence in Integrative Medicine-Part One: Review of Literature.Integrative medicine (Encinitas, Calif.) · 2021Review
- Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care.Journal of general internal medicine · 2021Article
- Differences in hospitalizations, emergency room admissions, and outpatient visits among Mexican-American Medicare beneficiaries.BMC geriatrics · 2019Article
- Medication adherence, costs, and ER visits of nurse practitioner and primary care physician patients: Evidence from three cohorts of Medicare beneficiaries.Health services research · 2019Article
- Recruitment and retention of primary care nurse practitioners in underserved areas: A scoping review.Nursing outlookArticle
- The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo compare medication adherence, cost, and utilization in Medicare beneficiaries attributed to nurse practitioners (NP) and primary care physicians (PCP). DATA: Medicare Part A, B, and D claims and beneficiary summary file data, years 2009-2013. STUDY
designWe used propensity score-weighted analyses combined with logistic regression and generalized estimating equations to test differences in good medication adherence (proportion of days covered (PDC >0.8); office-based and specialty care costs; and ER visits. DATA EXTRACTION: Beneficiaries with prescription claims for anti-diabetics, renin-angiotensin system antagonists (RASA), or statins. PRINCIPAL
findingsThere were no differences in good medication adherence (PDC >0.8) between NP and PCP attributed beneficiaries taking anti-diabetics or RASA. Beneficiaries taking statins had a slightly higher probability of good adherence when attributed to PCPs (74.6% vs 75.5%; P < 0.05). NP attributed beneficiaries had lower office-based and specialty care costs and were less likely to experience an ER visit across all three medication cohorts (P < 0.01).
conclusionsExamining the impact of NP and PCP provided care on outcomes beyond the primary care setting is important to the Medicare program in general but will also help practices seeking to meet benchmarks under alternative payment models that incentivize higher quality and lower costs.
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