Effectiveness of NPs and PAs in managing diabetes and cardiovascular disease

Nadeen Faza; Julia M. Akeroyd; David J. Ramsey; Tina Shah; Khurram Nasir; Anita Deswal; Christie M. Ballantyne; Laura A. Petersen; Salim S. Virani

doi:10.1097/01.JAA.0000534983.61613.91

Effectiveness of NPs and PAs in managing diabetes and cardiovascular disease

Nadeen Faza, Julia M. Akeroyd, David J. Ramsey, Tina Shah, Khurram Nasir, Anita Deswal, Christie M. Ballantyne, Laura A. Petersen, Salim S. Virani

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Background: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. Methods: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. Results: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs. Glycemic and BP control, statin use, number of primary or specialty care visits, lipid panels, and A1C results were comparable between groups. The CVD cohort consisted of 185,694 patients assigned to NPs and 66,217 assigned to PAs. BP control; use of beta-blockers, statins, or antiplatelets; primary or specialty care visits; lipid panels; and number of stress tests ordered were comparable between groups. Conclusion: Effectiveness of care and resource use among patients in both groups were comparable.

Original language	English (US)
Pages (from-to)	39-45
Number of pages	7
Journal	Journal of the American Academy of Physician Assistants
Volume	31
Issue number	7
DOIs	https://doi.org/10.1097/01.JAA.0000534983.61613.91
State	Published - Jul 1 2018

Keywords

Cardiovascular disease
Diabetes
NP
PA
Physician assistant
Quality of care

ASJC Scopus subject areas

Nurse Assisting

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10.1097/01.JAA.0000534983.61613.91

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title = "Effectiveness of NPs and PAs in managing diabetes and cardiovascular disease",

abstract = "Background: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. Methods: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. Results: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs. Glycemic and BP control, statin use, number of primary or specialty care visits, lipid panels, and A1C results were comparable between groups. The CVD cohort consisted of 185,694 patients assigned to NPs and 66,217 assigned to PAs. BP control; use of beta-blockers, statins, or antiplatelets; primary or specialty care visits; lipid panels; and number of stress tests ordered were comparable between groups. Conclusion: Effectiveness of care and resource use among patients in both groups were comparable.",

keywords = "Cardiovascular disease, Diabetes, NP, PA, Physician assistant, Quality of care",

author = "Nadeen Faza and Akeroyd, {Julia M.} and Ramsey, {David J.} and Tina Shah and Khurram Nasir and Anita Deswal and Ballantyne, {Christie M.} and Petersen, {Laura A.} and Virani, {Salim S.}",

note = "Publisher Copyright: {\textcopyright} 2018 American Academy of Physician Assistants.",

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doi = "10.1097/01.JAA.0000534983.61613.91",

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AU - Faza, Nadeen

AU - Akeroyd, Julia M.

AU - Ramsey, David J.

AU - Shah, Tina

AU - Nasir, Khurram

AU - Deswal, Anita

AU - Ballantyne, Christie M.

AU - Petersen, Laura A.

AU - Virani, Salim S.

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Background: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. Methods: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. Results: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs. Glycemic and BP control, statin use, number of primary or specialty care visits, lipid panels, and A1C results were comparable between groups. The CVD cohort consisted of 185,694 patients assigned to NPs and 66,217 assigned to PAs. BP control; use of beta-blockers, statins, or antiplatelets; primary or specialty care visits; lipid panels; and number of stress tests ordered were comparable between groups. Conclusion: Effectiveness of care and resource use among patients in both groups were comparable.

AB - Background: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. Methods: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. Results: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs. Glycemic and BP control, statin use, number of primary or specialty care visits, lipid panels, and A1C results were comparable between groups. The CVD cohort consisted of 185,694 patients assigned to NPs and 66,217 assigned to PAs. BP control; use of beta-blockers, statins, or antiplatelets; primary or specialty care visits; lipid panels; and number of stress tests ordered were comparable between groups. Conclusion: Effectiveness of care and resource use among patients in both groups were comparable.

KW - Cardiovascular disease

KW - Diabetes

KW - NP

KW - PA

KW - Physician assistant

KW - Quality of care

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Effectiveness of NPs and PAs in managing diabetes and cardiovascular disease

Abstract

Keywords

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