This study compared health services use and costs depending on whether the primary care provider was a physician, NP, or PA.
- NPs and PAs are taking a larger role in the primary care of medically complex patients with chronic conditions, but there concerns about the effects on costs.
- This study used Veterans Affairs data on medically complex patients with diabetes to compare health services use and costs depending on whether the primary care provider was a physician, NP, or PA.
- Use of NPs and PAs as primary care providers for complex patients with diabetes was associated with less use of acute care services and lower total costs.
Posted to The Playbook on
People with Multiple Chronic Conditions
Key Questions Answered
- What effects do nurse practitioners (NPs) and physician assistants (PAs) have on the utilization and costs of health services for individuals with complex needs?
- What explains these effects?
Level of Evidence
ModerateWhat does this mean?