Impact of nonphysician providers on spatial accessibility to primary care in Iowa.

ABSTRACT: OBJECTIVE:To assess the impact of nonphysician providers on measures of spatial access to primary care in Iowa, a state where physician assistants and advanced practice registered nurses are considered primary care providers. DATA SOURCES:2017 Iowa Health Professions Inventory (Carver College of Medicine), and minor civil division (MCD) level population data for Iowa from the American Community Survey. STUDY DESIGN:We used a constrained optimization model to probabilistically allocate patient populations to nearby (within a 30-minute drive) primary care providers. We compared the results (across 10 000 scenarios) using only primary care physicians with those including nonphysician providers (NPPs). We analyze results by rurality and compare findings with current health professional shortag

SUBMITTER: Young SG 

PROVIDER: S-EPMC7240764 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature