National Healthcare Quality and Disparities Report
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Topics
- Chronic Conditions (2)
- (-) Diabetes (4)
- (-) Elderly (4)
- Electronic Health Records (EHRs) (1)
- Evidence-Based Practice (1)
- Guidelines (1)
- Medication (1)
- Patient-Centered Healthcare (1)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 4 of 4 Research Studies DisplayedSchuttner L, Richardson C, Parikh T
"Low-value" glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: a retrospective cohort study.
The objective of this retrospective cohort study was to compare patients with diabetes reassigned to nurse practitioners to those reassigned to physicians after their previous physician separated from practice in an integrated US health system. Participants were patients aged at least 65 with diabetes who were at increased risk for hypoglycemia, whose primary care physician had left the Veterans Health Administration, and who were reassigned to a new primary care provider in the following year. The results indicated that primary care nurse practitioners delivered equivalent or better rates of low-value diabetes care for older patients, compared to physicians.
AHRQ-funded; HS026369.
Citation: Schuttner L, Richardson C, Parikh T .
"Low-value" glycemic outcomes among older adults with diabetes cared for by primary care nurse practitioners or physicians: a retrospective cohort study.
Int J Nurs Stud 2023 Sep; 145:104532. doi: 10.1016/j.ijnurstu.2023.104532..
Keywords: Elderly, Primary Care, Diabetes, Chronic Conditions
McCreedy EM, Kane RL, Gollust SE
Patient-centered guidelines for geriatric diabetes care: potential missed opportunities to avoid harm.
Clinicians strive to deliver individualized, patient-centered care. However, these intentions are understudied. This research explored how patient characteristics associated with a high risk-to-benefit ratio with hypoglycemia medications affected decision making by primary care clinicians. The investigators found that primary care clinicians often chose to intensify glycemic control despite individual patient factors that warranted higher glycemic targets based on existing guidelines.
AHRQ-funded; HS000011.
Citation: McCreedy EM, Kane RL, Gollust SE .
Patient-centered guidelines for geriatric diabetes care: potential missed opportunities to avoid harm.
J Am Board Fam Med 2018 Mar-Apr;31(2):192-200. doi: 10.3122/jabfm.2018.02.170141..
Keywords: Diabetes, Elderly, Patient-Centered Healthcare, Guidelines, Evidence-Based Practice, Shared Decision Making, Medication, Primary Care, Practice Patterns, Provider: Physician, Provider: Clinician, Provider
DuGoff EH, Walden E, Ronk K
Can claims data algorithms identify the physician of record?
This study sought to determine the agreement of the primary care physician (PCP) identified by claims algorithms with the PCP of record in electronic health record data. It concluded that researchers may be more likely to identify a patient's PCP when focusing on primary care visits only; however, these algorithms perform less well among vulnerable populations and those experiencing fragmented care.
AHRQ-funded; HS021899.
Citation: DuGoff EH, Walden E, Ronk K .
Can claims data algorithms identify the physician of record?
Med Care 2018 Mar;56(3):e16-e20. doi: 10.1097/mlr.0000000000000709.
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Keywords: Diabetes, Elderly, Electronic Health Records (EHRs), Primary Care
Kuo YF, Goodwin JS, Chen NW
Diabetes mellitus care provided by nurse practitioners vs primary care physicians.
The study objective was to compare processes and cost of care of older adults with diabetes mellitus cared for by nurse practitioners (NPs) with processes and cost of those cared for by primary care physicians (PCPs). It concluded that nurse practitioners were similar to PCPs or slightly lower in their rates of diabetes mellitus guideline–concordant care.
AHRQ-funded; HS020642; HS022134.
Citation: Kuo YF, Goodwin JS, Chen NW .
Diabetes mellitus care provided by nurse practitioners vs primary care physicians.
J Am Geriatr Soc 2015 Oct;63(10):1980-8. doi: 10.1111/jgs.13662..
Keywords: Chronic Conditions, Diabetes, Elderly, Primary Care, Practice Patterns