Division of primary care services between physicians, physician assistants, and nurse practitioners for older patients with diabetes.

Journal Article (Journal Article)

Team-based care involving physician assistants and/or nurse practitioners (PA/NPs) in the patient-centered medical home is one approach to improving care quality. However, little is known about how to incorporate PA/NPs into primary care teams. Using data from a large physician group, we describe the division of patients and services (e.g., acute, chronic, preventive, other) between primary care providers for older diabetes patients on panels with varying levels of PA/NP involvement (i.e., no role, supplemental provider, or usual provider of care). Panels with PA/NP usual providers had higher proportions of patients with Medicaid, disability, and depression. Patients with physician usual providers had similar probabilities of visits with supplemental PA/NPs and physicians for all service types. However, patients with PA/NP usual providers had higher probabilities of visits with a supplemental physician. Understanding how patients and services are divided between PA/NPs and physicians will assist in defining provider roles on primary care teams.

Full Text

Duke Authors

Cited Authors

  • Everett, CM; Thorpe, CT; Palta, M; Carayon, P; Gilchrist, VJ; Smith, MA

Published Date

  • October 2013

Published In

Volume / Issue

  • 70 / 5

Start / End Page

  • 531 - 541

PubMed ID

  • 23868081

Pubmed Central ID

  • PMC3902998

Electronic International Standard Serial Number (EISSN)

  • 1552-6801

Digital Object Identifier (DOI)

  • 10.1177/1077558713495453


  • eng

Conference Location

  • United States