Primary Care Nurse Practitioner Burnout and ED Use and Hospitalizations Among Chronically Ill Medicare Beneficiaries.
Nurse practitioners (NPs) represent the fastest-growing workforce of primary care clinicians in the United States. Their numbers are projected to grow in the near future. The NP workforce can help the country meet the rising demand for care services due to the aging population and increasing chronic...
| Published in: | Inquiry (00469580) pp. 1 - 10 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Published: |
Sage Publications Inc.
12/25/2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=185161250&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 185161250 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 12/25/2023 pid: 344 pub: Sage Publications Inc. artinfo: ui: 185161250 10.1177/00469580231219108 ppf: 1 ppct: 9 formats: tig: atl: Primary Care Nurse Practitioner Burnout and ED Use and Hospitalizations Among Chronically Ill Medicare Beneficiaries. aug: au: Poghosyan, Lusine Jianfang Liu Schlak, Amelia Courtwright, Suzanne Flandrick, Kathleen Nantsupawat, Apiradee Martsolf, Grant R. affil: Columbia University, New York, NY, USA. Department of Veteran’s Affairs, Office of Research and Development, Washington, DC, USA. University of Pittsburgh, Pittsburgh, PA, USA. sug: keyword: burnout chronic care emergency department use hospitalization nurse practitioner workforce primary care ab: Nurse practitioners (NPs) represent the fastest-growing workforce of primary care clinicians in the United States. Their numbers are projected to grow in the near future. The NP workforce can help the country meet the rising demand for care services due to the aging population and increasing chronic disease burden. Yet, increased burnout among these clinicians may affect their ability to deliver high-quality, safe care. We investigated how NP burnout in primary care practices affects patient outcomes, including emergency department (ED) use and hospitalizations, among older adults with chronic conditions. In 2018-2019, we collected survey data from 1244 primary care NPs from 6 geographically diverse states on their burnout and merged the survey data with data from Medicare claims on ED use and hospitalizations among 467 466 older adults with chronic conditions. 26.3% of NPs reported burnout. Using logistic regression models, we found that with a 1-unit increase in the standardized burnout score, the odds of an ED visit increased by 2.8% (OR=1.028; P-value=.035); Ambulatory Care Sensitive Conditions (ACSC) ED visit by 3.2% (OR=1.032; P-value=.019); hospitalization by 3.9% (OR=1.039; P-value=.001); and ACSC hospitalization by 6.2% (OR=1.062; P-value=.001). Our findings indicate that if chronically ill older adults receive care in primary care practices with higher NP burnout rates they are more likely to use EDs and hospitals. Policy and practice efforts, such as improving NP working conditions, should be undertaken to reduce NP burnout in primary care practices to potentially prevent acute care use. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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