Racial and ethnic disparities in ED use among older adults with asthma and primary care nurse practitioner work environments.
Res Sq
; 2024 Mar 14.
Article
en En
| MEDLINE
| ID: mdl-38559202
ABSTRACT
Background:
Nurse practitioners (NPs) increasingly deliver primary care in the United States. Yet, poor working conditions strain NP care. We examined whether racial/ethnic health disparities in ED visits among older adults with asthma are moderated by primary care NP work environments.Methods:
Survey data on NP work environments in six states were collected from 1,244 NPs in 2018-2019. 2018 Medicare claims data from 46,658 patients with asthma was merged with survey data to assess the associations of all-cause and ambulatory care sensitive conditions (ACSC) ED visits with NP work environment and race/ethnicity using logistic regression.Results:
NP work environment moderated the association of race (Black patients versus White patients) with all-cause (odds ratio [OR] 0.91; p-value = 0.045) and ACSC (OR 0.90; p-value = 0.033) ED visits.Conclusions:
Disparities in ED visits between Black and White patients with asthma decrease when these patients receive care in care clinics with favorable NP work environments.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Idioma:
En
Revista:
Res Sq
Año:
2024
Tipo del documento:
Article