ArticleHealth affairs (Project Hope)2022
Trends In Mental Health Care Delivery By Psychiatrists And Nurse Practitioners In Medicare, 2011-19.
Article in Health affairs (Project Hope), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Telemedicine Reimbursement Changes and Health Care Contact Days for Older Adults.JAMA network open · 2026Article
- Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.JAMA health forum · 2026Article
- Shifts in Antipsychotic Prescribing by Clinician Type for Medicare Part D Beneficiaries, 2013-2023.JAMA network open · 2026Article
- Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services.The Milbank quarterly · 2025Article
- Recent Trends in Medication Treatment for Attention-Deficit Hyperactivity Disorder.Psychiatric services (Washington, D.C.) · 2025Article
- Supervision and Support for Advanced Practice Providers Entering Psychiatric Practice.Current psychiatry reports · 2025Review
- Exploring non-medical prescribing for patients with mental illness: a scoping review.BMC psychiatry · 2025Article
- Medicare Eligibility and Health Care Use Among Adults With Psychological Distress.JAMA health forum · 2025Article
- Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2025Review
- Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms.BMC medicine · 2025Review
- Multidisciplinary perspectives on personalised prevention in youth mental health.Frontiers in digital health · 2025Article
- A Multi-aim Redesign of the Residency Training Experience in Outpatient Psychiatry.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024Article
- Measuring algorithmic bias to analyze the reliability of AI tools that predict depression risk using smartphone sensed-behavioral data.Npj mental health research · 2024Article
- Article
- Acceptance of Insurance by Psychiatrists and Other Physicians, 2007-2016.Psychiatric services (Washington, D.C.) · 2024Article
- Falling off a cliff: Psychiatric care of nursing home residents.Journal of the American Geriatrics Society · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
The supply of psychiatrists in the United States is inadequate to address the unmet demand for mental health care. Psychiatric mental health nurse practitioners (PMHNPs) may fill the widening gap between supply of and demand for mental health specialists with prescribing privileges. Using Medicare claims for a 100 percent sample of fee-for-service beneficiaries (average age, sixty-one years) who had an office visit for either a psychiatrist or a PMHNP during the period 2011-19, we examined how the supply and use of psychiatrists and PMHNPs changed over time, and we compared their practice patterns. Psychiatrists and PMHNPs treated roughly comparable patient populations with similar services and prescriptions. From 2011 to 2019 the number of PMHNPs treating Medicare beneficiaries grew 162 percent, compared with a 6 percent relative decrease in the number of psychiatrists doing so. During the same period, total annual mental health office visits per 100 beneficiaries decreased 11.5 percent from 27.4 to 24.2, the net result of a 29.0 percent drop in psychiatrist visits being offset by a 111.3 percent increase in PMHNP visits. The proportion of all mental health prescriber visits provided by PMHNPs increased from 12.5 percent to 29.8 percent during 2011-19, exceeding 50 percent in rural, full-scope-of-practice regions. PMHNPs are a rapidly growing workforce that may be instrumental in improving mental health care access.
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