Process and Outcome Measures among COPD Patients with a Hospitalization Cared for by an Advance Practice Provider or Primary Care Physician

Researchers conducted a retrospective review of Medicare data for COPD patients seen in 2010. Two groups were examined: those who received their care from primary care physicians and those who were seen by advanced practice professionals (i.e., APPs include physician assistants and advanced practice nurses). Patients in the APP group were more likely to be prescribed oxygen as well as short acting bronchodilators and be referred to a pulmonologist; they were also less likely to receive influenza and pneumococcal vaccinations. While the two groups did not differ on readmissions, patients seen by APPs were significantly less likely to visit the ED and more likely to follow up with a pulmonologist, both within 30 days of a COPD hospitalization. There were also no differences between groups on use of spirometry and pulmonary rehabilitation. Differences between groups, including age, are detailed.