Evidence map›Paper›PMID 33646870›Full record

ArticleHealth affairs (Project Hope)2021

Provider Teams Outperform Solo Providers In Managing Chronic Diseases And Could Improve The Value Of Care.

Maximilian J Pany, Lucy Chen, Bethany Sheridan, Robert S Huckman

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. Article
  5. Article
  6. Procedures by Physician Associates in Obstetrics and Gynecology.Women's health reports (New Rochelle, N.Y.) · 2023
    Article
  7. Article
  8. When is caring sharing? Primary care provider interdependence and continuity of care.JAAPA : official journal of the American Academy of Physician Assistants · 2023
    Article
  9. Composition of An Ideal Medical Care Team.Delaware journal of public health · 2022
    Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maximilian J PanyMaximilian J. Pany (mpany@hms.harvard.edu) is an MD-PhD candidate in health policy at Harvard Medical School, in Boston, Massachusetts. Pany and Lucy Chen are co-first authors.
Lucy ChenLucy Chen is an MD-PhD candidate in health policy at Harvard Medical School. Chen and Maximilian Pany are co-first authors.
Bethany SheridanBethany Sheridan is a senior manager of the Research and Insights team at athenahealth, Inc., in Watertown, Massachusetts.
Robert S HuckmanRobert S. Huckman is the Albert J. Weatherhead III Professor of Business Administration and the Unit Head for Technology and Operations Management at Harvard Business School, in Boston, Massachusetts.

Funding

Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
MD-PhD Training Program in Aging and the Social/Behavioral SciencesT32AG051108 · NIA · HARVARD MEDICAL SCHOOL · PI MCWILLIAMS, JOHN MICHAEL · 2015 to 2025
$2.1M
NIA NIH HHS T32 AG051108
6 · The paper itself

Abstract

Scope-of-practice regulations, including prescribing limits and supervision requirements, may influence the propensity of providers to form care teams. Therefore, policy makers need to understand the effect of both team-based care and provider type on clinical outcomes. We examined how care management and biomarker outcomes after the onset of three chronic diseases differed both by team-based versus solo care and by physician versus nonphysician (that is, nurse practitioner and physician assistant) care. Using 2013-18 deidentified electronic health record data from US primary care practices, we found that provider teams outperformed solo providers, irrespective of team composition. Among solo providers, physicians and nonphysicians exhibited little meaningful difference in performance. As policy makers contemplate scope-of-practice changes, they should consider the effects of not only provider type but also team-based care on outcomes. Interventions that may encourage provider team formation, including scope-of-practice reforms, may improve the value of care.

Indexed as

Nurse PractitionersPhysician AssistantsPhysiciansChronic DiseaseHumansPrimary Health Care

Identifiers

PMID33646870
PMCPMC9166311

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.