Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores.

ABSTRACT:

Importance

While the number of prescribing clinicians (physicians and nurse practitioners) who provide any nursing home care remained stable over the past decade, the number of clinicians who focus their practice exclusively on nursing home care has increased by over 30%.

Objectives

To measure the association between regional trends in clinician specialization in nursing home care and nursing home quality.

Design

Retrospective cross-sectional study.

Setting and participants

Patients treated in 15,636 nursing homes in 305 US hospital referral regions between 2013 and 2016.

Measures

Clinician specialization in nursing home care for 2012-2015 was measured using Medicare fee-for-service billings. Nursing home specialists were defined as generalist physicians

SUBMITTER: Ryskina KL 

PROVIDER: S-EPMC6663630 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature