Prescribing Alzheimer's Disease treatments by provider type and geographic region: a comparison among physicians, nurse practitioners, and physician assistants.
Prescribing Alzheimer's Disease treatments by provider type and geographic region: a comparison among physicians, nurse practitioners, and physician assistants.
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DOI：
10.1186/s12877-022-03176-3
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发表时间：
2022-06-25
期刊：
影响因子：
4.1
通讯作者：
Marcum, Zachary A.
中科院分区：
文献类型：
--
作者：
Park, Jenny Y.;Veenstra, David L.;Wallick, Christopher J.;Marcum, Zachary A.
The estimated increase in Alzheimer’s Disease (AD) caseload may present a logistical challenge to the US healthcare system. While nurse practitioners (NPs) and physician assistants (PAs) are increasingly delivering primary care to patients with chronic diseases, the nature of their prescribing of AD medications is largely unknown. The primary objective of this study was to compare the prescribing of AD medications across provider types (physician, NP, and PA) and geographic regions. We conducted a retrospective cohort study using IBM MarketScan® commercial and Medicare supplemental claims to examine unique AD prescriptions prescribed between January 1, 2016, and December 31, 2019. Parallel analysis of prescriptions for another geriatric condition, osteoporosis (OP), was also conducted for comparison. A total of 103,067 AD prescriptions and 131,773 OP prescriptions were included in analyses. Physicians prescribed most AD prescriptions (95.65%), followed by NPs (3.37%) and PAs (0.98%). Small differences were identified among individual AD medications prescribed by physicians compared to NP/PAs. NPs/PAs prescribed a significantly higher proportion of AD prescriptions in rural as compared to urban areas (z = 0.023, 95%CI [0.018, 0.028]). Minimal variation exists in AD prescribing among physicians, NPs, and PAs, but NPs/PAs prescribe more AD prescriptions in rural areas. NPs/PAs, especially in rural areas, may play critical roles in alleviating projected workforce constraints. Further research assessing AD care, health outcomes, and costs by provider type and region is necessary to better guide healthcare workforce planning for AD care. The online version contains supplementary material available at 10.1186/s12877-022-03176-3.
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影响因子：
11.1
作者：
Liss JL;Seleri Assunção S;Cummings J;Atri A;Geldmacher DS;Candela SF;Devanand DP;Fillit HM;Susman J;Mintzer J;Bittner T;Brunton SA;Kerwin DR;Jackson WC;Small GW;Grossberg GT;Clevenger CK;Cotter V;Stefanacci R;Wise-Brown A;Sabbagh MN
通讯作者：
Sabbagh MN
DOI：
10.1016/j.jagp.2021.01.135
发表时间：
2021-06
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Poghosyan L;Brooks JM;Hovsepian V;Pollifrone M;Schlak AE;Sadak T
通讯作者：
Sadak T
影响因子：
2.7
作者：
McCaffrey, Ruth;Tappen, Ruth M.;Friedland, Michael
通讯作者：
Friedland, Michael
影响因子：
5.9
作者：
Yang, Yihan;Long, Qi;Phillips, Lawrence S.
通讯作者：
Phillips, Lawrence S.
影响因子：
5.7
作者：
Muench, Ulrike;Whaley, Christopher;Spetz, Joanne
通讯作者：
Spetz, Joanne