Advertisement
Research Letter| Volume 22, ISSUE 2, P468-469.e1, February 2021

Download started.

Ok

The Characteristics of Physicians Who Primarily Practice in Nursing Homes

Published:November 21, 2020DOI:https://doi.org/10.1016/j.jamda.2020.10.006
      The number of clinicians who primarily practice in nursing homes (NHs), recently referred to as “SNFists,” increased by 33% between 2012 and 2015.
      • Ryskina K.L.
      • Polsky D.
      • Werner R.M.
      Physicians and advanced practitioners specializing in nursing home care, 2012-2015.
      Recent research suggests that SNFists provide higher-quality care to NH patients than other clinicians,
      • Ryskina K.L.
      • Yuan Y.
      • Werner R.M.
      Postacute care outcomes and medicare payments for patients treated by physicians and advanced practitioners who specialize in nursing home practice.
      and NH medicine has been proposed as a formal specialty,
      • Katz P.
      • Karuza J.
      • Intrator O.
      • Mor V.
      Nursing home physician specialists: A response to the workforce crisis in long-term care.
      yet little is known about the characteristics of SNFists. Such information will be important in further linking attributes that may be associated with outcomes—for example, training and practice setting—and which may have policy implications. Using a nationwide sample, we compared the characteristics of physicians who were SNFists with those of physicians who never visited NHs and those who occasionally visited NHs.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the American Medical Directors Association
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ryskina K.L.
        • Polsky D.
        • Werner R.M.
        Physicians and advanced practitioners specializing in nursing home care, 2012-2015.
        JAMA. 2017; 318: 2040-2042
        • Ryskina K.L.
        • Yuan Y.
        • Werner R.M.
        Postacute care outcomes and medicare payments for patients treated by physicians and advanced practitioners who specialize in nursing home practice.
        Health Serv Res. 2019; 54: 564-574
        • Katz P.
        • Karuza J.
        • Intrator O.
        • Mor V.
        Nursing home physician specialists: A response to the workforce crisis in long-term care.
        Ann Intern Med. 2009; 150: 411-413
        • Teno J.M.
        • Gozalo P.L.
        • Trivedi A.N.
        • et al.
        Temporal trends in the numbers of skilled nursing facility specialists from 2007 through 2014.
        JAMA Intern Med. 2017; 177: 1376-1378
        • Cohen G.R.
        • Jones D.J.
        • Heeringa J.
        • et al.
        Leveraging diverse data sources to identify and describe US health care delivery systems.
        eGEMs. 2017; 5
      1. US News and World Report.
        (Available at:)
        • Katz P.R.
        • Karuza J.
        Physician practice in post-acute and long-term care: Determining the “value proposition”.
        J Am Med Dir Assoc. 2015; 16: 728-730
        • Mays A.M.
        • Saliba D.
        • Feldman S.
        • et al.
        Quality indicators of primary care provider engagement in nursing home care.
        J Am Med Dir Assoc. 2018; 19: 824-832