ArticleJournal of the American Medical Directors Association2021
Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.
Article in Journal of the American Medical Directors Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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
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Who cites it
12 citing papers in PubMed.
- Shifts in Antipsychotic Prescribing by Clinician Type for Medicare Part D Beneficiaries, 2013-2023.JAMA network open · 2026Article
- Changes in Physician Workforce Composition and Rehospitalization From Post-Acute Care in Nursing Homes Between 2012 and 2019.Journal of the American Medical Directors Association · 2025Article
- Clinicians Who Practice Primarily in Nursing Homes and the Quality of Care for Residents With Alzheimer Disease and Related Dementias.JAMA health forum · 2025Article
- Nurse workforce change and metropolitan medically underserved areas in the United States.BMC health services research · 2025Article
- Supply and Geographic Distribution of Geriatric Physicians and Geriatric Nurse Practitioners.JAMA network open · 2024Article
- The Association Between the Presence of Medical Care and Resident Outcomes in Canadian Nursing Homes: a Retrospective Cross-Sectional Analysis.Canadian geriatrics journal : CGJ · 2024Article
- Antibiotic Prescribing Patterns for Urinary Tract Infections and Pneumonia by Prescriber Type and Specialty in Nursing Home Care, 2016-2018.Journal of the American Medical Directors Association · 2024Article
- Clinicians who primarily practice in nursing homes and outcomes among residents with urinary tract infection or pneumonia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2024Article
- Factors related to the internal social capital of elderly-caring social organizations: a cross-sectional study in Chongqing, China.BMC health services research · 2023Article
- Nurse practitioner/physician collaborative models of care: a scoping review protocol.BMC geriatrics · 2023Article
- The Future Includes Nurse Practitioner Models of Care in the Long-Term Care Sector.Journal of the American Medical Directors Association · 2022Article
- Understanding Pandemic Increases in Long-Stay Psychotropic Prescribing for Dementia Symptoms: A Survey of Nursing Home Clinicians.Gerontology & geriatric medicineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesThe objective was to describe the growth of physicians, nurse practitioners (NPs), and physician assistants (PAs) who practice full time in nursing homes, to assess resident and nursing home characteristics associated with receiving care from full-time providers, and describe variation among nursing homes in use of full-time providers.
designRetrospective cohort study. SETTING AND
participantsA 20% national sample Medicare data on long-term care residents in 2008 to 2018 and the physicians, NPs, and PAs who submitted charges to Medicare for their care.
methodsWe measured the percentage of provider charges for services rendered in nursing homes, in addition to resident and facility characteristics.
resultsFull-time nursing home providers increased from 26.0% of all nursing home providers in 2008 to 44.6% in 2017. The largest increase was in NPs: from 1986 in 2008 to 4479 in 2017. Resident age, sex, Medicaid eligibility, and race/ethnicity had minimal association with the odds of having a full-time provider, whereas residents with an NP primary care provider were 23.0 times more likely (95% confidence interval = 21.6, 24.6) to have a full-time provider. Residents who received care from both a physician and an NP or PA increased from 33.6% in 2008 to 62.5% in 2018. There was large variation among facilities in the percentage of residents with full-time providers, from 5.72% of residents with full-time providers in the bottom quintile of facilities to 91.44% in the top quintile. Individual nursing homes accounted for 59% of the variation in whether a resident had a full-time provider. CONCLUSIONS AND IMPLICATIONS: The percentage of nursing home residents with full-time providers continues to grow, with very large variation among nursing homes.
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