Processes and outcomes of diabetes mellitus care by different types of team primary care models.

ABSTRACT:

Background

Team care improves processes and outcomes of care, especially for patients with complex medical conditions that require coordination of care. This study aimed to compare the processes and outcomes of care provided to older patients with diabetes by primary care teams comprised of only primary care physicians (PCPs) versus team care that included nurse practitioners (NPs) or physician assistants (PAs).

Methods

We studied 3,524 primary care practices identified via social network analysis and 306,741 patients ≥66 years old diagnosed with diabetes in or before 2015 in Medicare data. Guideline-recommended diabetes care included eye examination, hemoglobin A1c test, and nephropathy monitoring. High-risk medications were based on recommendations from the American Geriat

SUBMITTER: Guo F 

PROVIDER: S-EPMC7644045 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature