Effectiveness of NPs and PAs in managing diabetes and cardiovascular disease

Nadeen N. Faza, Julia M. Akeroyd, David J. Ramsey, Tina Shah, Khurram Nasir, Anita Deswal, Christie M. Ballantyne, Laura A. Petersen, Salim S. Virani

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)


Background: The effectiveness of cardiovascular disease (CVD) and diabetes care delivered by NPs and physician assistants (PAs), and resource use by these providers has not been studied. Methods: We performed regression analyses of patients with diabetes or CVD with a primary care visit in 130 Veterans Affairs (VA) facilities to assess the association between provider type and effectiveness or resource use. Results: The diabetes cohort consisted of 156,034 patients assigned to NPs and 54,590 assigned to PAs. Glycemic and BP control, statin use, number of primary or specialty care visits, lipid panels, and A1C results were comparable between groups. The CVD cohort consisted of 185,694 patients assigned to NPs and 66,217 assigned to PAs. BP control; use of beta-blockers, statins, or antiplatelets; primary or specialty care visits; lipid panels; and number of stress tests ordered were comparable between groups. Conclusion: Effectiveness of care and resource use among patients in both groups were comparable.

Original languageEnglish
Pages (from-to)39-45
Number of pages7
JournalJAAPA : official journal of the American Academy of Physician Assistants
Issue number7
Publication statusPublished - 1 Jul 2018
Externally publishedYes


  • Cardiovascular disease
  • Diabetes
  • NP
  • PA
  • Physician assistant
  • Quality of care


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