Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants

Letters16 July 2019Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician AssistantsGeorge L. Jackson, PhD, MHA, Valerie A. Smith, DrPH, David Edelman, MD, MHS, Cristina C. Hendrix, DNS, GNP-BC, and Perri A. Morgan, PhD, PA-CGeorge L. Jackson, PhD, MHADurham Veterans Affairs Health Care System and Duke University, Durham, North Carolina (G.L.J., V.A.S., D.E., C.C.H.)Search for more papers by this author, Valerie A. Smith, DrPHDurham Veterans Affairs Health Care System and Duke University, Durham, North Carolina (G.L.J., V.A.S., D.E., C.C.H.)Search for more papers by this author, David Edelman, MD, MHSDurham Veterans Affairs Health Care System and Duke University, Durham, North Carolina (G.L.J., V.A.S., D.E., C.C.H.)Search for more papers by this author, Cristina C. Hendrix, DNS, GNP-BCDurham Veterans Affairs Health Care System and Duke University, Durham, North Carolina (G.L.J., V.A.S., D.E., C.C.H.)Search for more papers by this author, and Perri A. Morgan, PhD, PA-CDuke University, Durham, North Carolina (P.A.M.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0200 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate these comments and that readers agreed with our conclusions within the scope of the specific research. We sought to take advantage of the size of the VA health care system, the ability to use electronic health records to determine which providers saw patients, and the extensive access to the results of laboratory studies and vital sign measurements and to patient-level data that allowed for advanced statistical analyses. When combined with evidence from other investigators (including trials and observational studies) (1–4), our article offers additional support for the role of NPs and PAs as primary care providers ...References1. Laurant M, Harmsen M, Wollersheim H, et al. The impact of nonphysician clinicians: do they improve the quality and cost-effectiveness of health care services? Med Care Res Rev. 2009;66:36S-89S. [PMID: 19880672] doi:10.1177/1077558709346277 CrossrefMedlineGoogle Scholar2. Newhouse RP, Stanik-Hutt J, White KM, et al. Advanced practice nurse outcomes 1990-2008: a systematic review. Nurs Econ. 2011;29:230-50. [PMID: 22372080] MedlineGoogle Scholar3. Hooker RS, Everett CM. The contributions of physician assistants in primary care systems. Health Soc Care Community. 2012;20:20-31. [PMID: 21851446] doi:10.1111/j.1365-2524.2011.01021.x CrossrefMedlineGoogle Scholar4. Laurant M, van der Biezen M, Wijers N, et al. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev. 2018;7:CD001271. [PMID: 30011347] doi:10.1002/14651858.CD001271.pub3 CrossrefMedlineGoogle Scholar5. Jackson GL, Powers BJ, Chatterjee R, et al. The patient centered medical home. A systematic review. Ann Intern Med. 2013;158:169-78. [PMID: 24779044] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Durham Veterans Affairs Health Care System and Duke University, Durham, North Carolina (G.L.J., V.A.S., D.E., C.C.H.)Duke University, Durham, North Carolina (P.A.M.)Disclaimer: The views expressed here are those of the authors and do not reflect the position or policy of the VA or the U.S. government.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1987. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIntermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants George L. Jackson , Valerie A. Smith , David Edelman , Sandra L. Woolson , Cristina C. Hendrix , Christine M. Everett , Theodore S. Berkowitz , Brandolyn S. White , and Perri A. Morgan Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants P. Dileep Kumar Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants James Grote Metrics 16 July 2019Volume 171, Issue 2Page: 145KeywordsDisclosureElectronic medical recordsHealth careHealth statisticsNursesObservational studiesPatientsResearch laboratoriesStatistical dataVital signs ePublished: 16 July 2019 Issue Published: 16 July 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...