Evidence map›Paper›PMID 38146179›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Primary Care Nurse Practitioner Burnout and ED Use and Hospitalizations Among Chronically Ill Medicare Beneficiaries.

Lusine Poghosyan, Jianfang Liu, Amelia Schlak, Suzanne Courtwright, Kathleen Flandrick, Apiradee Nantsupawat, Grant R Martsolf

Open access · goldAbstract read
In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

7 authors at 3 institutions in 1 country.

Lusine PoghosyanColumbia University, New York, NY, USA.ORCID 0000-0002-0529-8171
Jianfang LiuColumbia University, New York, NY, USA.
Amelia SchlakDepartment of Veteran's Affairs, Office of Research and Development, Washington, DC, USA.
Suzanne CourtwrightColumbia University, New York, NY, USA.ORCID 0000-0003-2911-360X
Kathleen FlandrickColumbia University, New York, NY, USA.
Apiradee NantsupawatColumbia University, New York, NY, USA.
Grant R MartsolfUniversity of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-1942-8683
Columbia University · USUniversity of Pittsburgh · USVA Office of Research and Development · US

Funding

Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
NIMHD NIH HHS R01 MD011514NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

Nurse practitioners (NPs) represent the fastest-growing workforce of primary care clinicians in the United States. Their numbers are projected to grow in the near future. The NP workforce can help the country meet the rising demand for care services due to the aging population and increasing chronic disease burden. Yet, increased burnout among these clinicians may affect their ability to deliver high-quality, safe care. We investigated how NP burnout in primary care practices affects patient outcomes, including emergency department (ED) use and hospitalizations, among older adults with chronic conditions. In 2018-2019, we collected survey data from 1244 primary care NPs from 6 geographically diverse states on their burnout and merged the survey data with data from Medicare claims on ED use and hospitalizations among 467 466 older adults with chronic conditions. 26.3% of NPs reported burnout. Using logistic regression models, we found that with a 1-unit increase in the standardized burnout score, the odds of an ED visit increased by 2.8% (OR = 1.028;

Indexed as

MedicareNurse PractitionersAgedBurnout, PsychologicalChronic DiseaseEmergency Service, HospitalHospitalizationHumansPrimary Health CareUnited Statesburnoutchronic careemergency department usehospitalizationnurse practitioner workforceprimary care

Identifiers

PMID38146179
PMCPMC10752115
OpenAlexW4390240054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.