Adult ambulatory care visits to nurses and physicians

methodological limitations of the medical expenditure panel survey data.

Peri Rosenfeld, Hongsoo Kim, Christine Kovner, Christine Kovner, Mathy Mezey

Research output: Contribution to journalArticle

Abstract

The 1997 Medical Expenditure Panel Survey (MEPS) data report that approximately 80 million adult ambulatory visits are made to nursing personnel. Adults who visit nursing personnel and who visit physicians are similar with regard to sex and income. As compared to nursing personnel, physician visits are longer and more likely to involve diagnosis or treatment. Older adult visits (ages 65 to 90) to nursing personnel are significantly longer than the visits of younger adults. As compared to physician visits, nursing personnel visits are significantly more likely to be characterized as "other" for all adults and especially for older adults. Although these findings suggest important differences between physician and nurse ambulatory care visits, the undifferentiated use of the term nurse and the significant percentage of uncharacterized visits to nursing personnel signal serious deficiencies in the MEPS data in exploring nonphysician ambulatory care.

Original languageEnglish (US)
Pages (from-to)221-228
Number of pages8
JournalPolicy, Politics, and Nursing Practice
Volume6
Issue number3
DOIs
StatePublished - Aug 2005

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Ambulatory Care
Health Expenditures
Nurses
Physicians
Surveys and Questionnaires
Young Adult

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Leadership and Management

Cite this

Adult ambulatory care visits to nurses and physicians : methodological limitations of the medical expenditure panel survey data. / Rosenfeld, Peri; Kim, Hongsoo; Kovner, Christine; Kovner, Christine; Mezey, Mathy.

In: Policy, Politics, and Nursing Practice, Vol. 6, No. 3, 08.2005, p. 221-228.

Research output: Contribution to journalArticle

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