Peter I Buerhaus
Datos Biográficos
| ID | 5534574 |
|---|---|
| NOMBRE | Peter I Buerhaus |
| NOMBRES | Peter I |
| APELLIDO | Buerhaus |
| FIRMA | BUERHAUS P I |
| AFILIACIONES | Montana State University |
| ORCID | 0000-0002-1437-8341 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 29 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1991 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 1 |
Projecting the Future Registered Nurse Workforce After the Covid-19 Pandemic
In this study, the rebound in the total size of the US RN workforce during 2022 and 2023 indicates that the earlier drop in RN employment during the first 2 years of the COVID-19 pandemic was likely transitory. Updated forecasts of the future RN workforce are very close to those made before the pandemic
Characteristics of rural registered nurses and the implications for workforce policy
PURPOSE: Rural registered nurses (RNs) play an integral role in providing care for an underserved population with worse health outcomes than urban counterparts. However, little information is available on the profile of this workforce, which is necessary to understand the capacity of these nurses to provide quality and demanded care presently and in the future. METHODS: We utilize data from the American Community Survey to provide a contemporary …
Marriage, Children, and Sex-Based Differences in Physician Hours and Income
In this cross-sectional study of US physicians, marriage and children were associated with a greater earnings penalty for female physicians, primarily due to fewer hours worked relative to men. Addressing the barriers that lead to women working fewer hours could contribute to a reduction in the male-female earnings gap while helping to expand the effective physician workforce
Projecting the Health Care Workforce Needed in the US
Value-Informed Nursing Practice Can Help Reset the Hospital-Nurse Relationship
As the coronavirus disease 2019 (COVID-19) pandemic continues to affect the country's economic, political, social, and health care systems, it now appears to be disrupting the relationship between hospitals and nurses. Sharp decreases in revenues from curtailed diagnostic procedures and elective admissions led some hospitals and private medical practices to furlough nurses. From the perspective of many nurses, however, being furloughed was a repr…
The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
BACKGROUND: Overuse and inappropriate use of emergency departments (EDs) remains an important issue in health policy. After implementation of Medicaid expansion, many states experienced an increase in ED use, but the magnitude varied. Differential access to primary care might explain such variation. OBJECTIVE: To determine whether the increase in ED use among Medicaid enrollees following Medicaid expansion was smaller in states that allowed great…
Individual Nurse Productivity in Preparing Patients for Discharge Is Associated With Patient Likelihood of 30-Day Return to Hospital
OBJECTIVE: Applied to value-based health care, the economic term "individual productivity" refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient's likelihood of a 30…
Quality of Primary Care Provided to Medicare Beneficiaries by Nurse Practitioners and Physicians
OBJECTIVE: To examine differences in the quality of care provided by primary care nurse practitioners (PCNPs), primary care physicians (PCMDs), or both clinicians. DATA SOURCES: Medicare part A and part B claims during 2012-2013. STUDY DESIGN: Retrospective cohort design using standard risk-adjustment methodologies and propensity score weighting assessing 16 claims-based quality measures grouped into 4 domains of primary care: chronic disease man…
Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity
BACKGROUND: Little is known about the geographic distribution of the overall primary care workforce that includes both physician and nonphysician clinicians--particularly in areas with restrictive nurse practitioner scope-of-practice laws and where there are relatively large numbers of uninsured. OBJECTIVE: We investigated whether geographic accessibility to primary care clinicians (PCCs) differed across urban and rural areas and across states wi…
Will the RN Workforce Weather the Retirement of the Baby Boomers
IMPORTANCE: After forecasts made more than a decade ago suggested dire nursing shortages, enrollment in nursing schools doubled. The implications of this unprecedented change for the nursing workforce have not yet been fully explored. OBJECTIVE: To forecast the size and age distribution of the nursing workforce to the year 2030 and to compare to demand recently projected by the Health Resources and Services Agency. DESIGN: A retrospective cohort …
Using Present-On-Admission Coding to Improve Exclusion Rules for Quality Metrics
Failure-to-rescue is a robust quality measure, sensitive to nursing across alternative exclusion rule specifications. Despite expanded POA coding, exclusion-based rules are needed to analyze datasets not coded for POA, legacy datasets, and datasets with poor POA coding. POA-informed construction of exclusions significantly improves rules identifying POA complications
Identifying In-Hospital Venous Thromboembolism (VTE)
BACKGROUND: Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) or "hospital-acquired". Such indicator variables will soon be required for Medicare reimbursement. No estimates are available, how…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
Evaluating the Role of Patient Sample Definitions for Quality Indicators Sensitive to Nurse Staffing Patterns
BACKGROUND: Administrative data are an attractive data source for the construction of quality indicators to assess and monitor quality of nursing care in hospitals. Current approaches to constructing measures from discharge abstracts apply substantial restrictions to exclude patients at high risk or with preexisting conditions. This study evaluates whether broader sample definitions combined with risk adjustment would allow for larger samples and…
Nurse-Staffing Levels and the Quality of Care in Hospitals
BACKGROUND: It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die. METHODS: We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcom…
Economic Determinants of Annual Hours Worked by Registered Nurses
This study was guided by the economic theory of the decision to work, with secondary survey data (N = 16,880) derived from the National Sample Survey of the Population of Registered Nurses, November 1984, used to analyze the effects of economic and sociodemographic variables on the number of hours worked annually by registered nurses (RNs). When separate analyses were performed for the entire sample and for unmarried RNs alone, regression coeffic…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
Economic Determinants of Annual Hours Worked by Registered Nurses
This study was guided by the economic theory of the decision to work, with secondary survey data (N = 16,880) derived from the National Sample Survey of the Population of Registered Nurses, November 1984, used to analyze the effects of economic and sociodemographic variables on the number of hours worked annually by registered nurses (RNs). When separate analyses were performed for the entire sample and for unmarried RNs alone, regression coeffic…
Nurse-Staffing Levels and the Quality of Care in Hospitals
BACKGROUND: It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die. METHODS: We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcom…
Evaluating the Role of Patient Sample Definitions for Quality Indicators Sensitive to Nurse Staffing Patterns
BACKGROUND: Administrative data are an attractive data source for the construction of quality indicators to assess and monitor quality of nursing care in hospitals. Current approaches to constructing measures from discharge abstracts apply substantial restrictions to exclude patients at high risk or with preexisting conditions. This study evaluates whether broader sample definitions combined with risk adjustment would allow for larger samples and…
Failure-to-Rescue
From the *Department of Health Services, University of California, Los Angeles School of Public Health, Los Angeles, California; and the †Center for Interdisciplinary Health Workforce Studies, Institute for Medicine & Public Health, Vanderbilt University Medical Center and Vanderbilt University School of Nursing, Nashville, Tennessee. Reprints: Jack Needleman, PhD, Department of Health Services, Room 31-236B CHS, University of California, Los Ang…
Identifying In-Hospital Venous Thromboembolism (VTE)
BACKGROUND: Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) or "hospital-acquired". Such indicator variables will soon be required for Medicare reimbursement. No estimates are available, how…
Using Present-On-Admission Coding to Improve Exclusion Rules for Quality Metrics
Failure-to-rescue is a robust quality measure, sensitive to nursing across alternative exclusion rule specifications. Despite expanded POA coding, exclusion-based rules are needed to analyze datasets not coded for POA, legacy datasets, and datasets with poor POA coding. POA-informed construction of exclusions significantly improves rules identifying POA complications
Will the RN Workforce Weather the Retirement of the Baby Boomers
IMPORTANCE: After forecasts made more than a decade ago suggested dire nursing shortages, enrollment in nursing schools doubled. The implications of this unprecedented change for the nursing workforce have not yet been fully explored. OBJECTIVE: To forecast the size and age distribution of the nursing workforce to the year 2030 and to compare to demand recently projected by the Health Resources and Services Agency. DESIGN: A retrospective cohort …
Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity
BACKGROUND: Little is known about the geographic distribution of the overall primary care workforce that includes both physician and nonphysician clinicians--particularly in areas with restrictive nurse practitioner scope-of-practice laws and where there are relatively large numbers of uninsured. OBJECTIVE: We investigated whether geographic accessibility to primary care clinicians (PCCs) differed across urban and rural areas and across states wi…
Quality of Primary Care Provided to Medicare Beneficiaries by Nurse Practitioners and Physicians
OBJECTIVE: To examine differences in the quality of care provided by primary care nurse practitioners (PCNPs), primary care physicians (PCMDs), or both clinicians. DATA SOURCES: Medicare part A and part B claims during 2012-2013. STUDY DESIGN: Retrospective cohort design using standard risk-adjustment methodologies and propensity score weighting assessing 16 claims-based quality measures grouped into 4 domains of primary care: chronic disease man…
The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
BACKGROUND: Overuse and inappropriate use of emergency departments (EDs) remains an important issue in health policy. After implementation of Medicaid expansion, many states experienced an increase in ED use, but the magnitude varied. Differential access to primary care might explain such variation. OBJECTIVE: To determine whether the increase in ED use among Medicaid enrollees following Medicaid expansion was smaller in states that allowed great…
Individual Nurse Productivity in Preparing Patients for Discharge Is Associated With Patient Likelihood of 30-Day Return to Hospital
OBJECTIVE: Applied to value-based health care, the economic term "individual productivity" refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient's likelihood of a 30…
Value-Informed Nursing Practice Can Help Reset the Hospital-Nurse Relationship
As the coronavirus disease 2019 (COVID-19) pandemic continues to affect the country's economic, political, social, and health care systems, it now appears to be disrupting the relationship between hospitals and nurses. Sharp decreases in revenues from curtailed diagnostic procedures and elective admissions led some hospitals and private medical practices to furlough nurses. From the perspective of many nurses, however, being furloughed was a repr…
Projecting the Health Care Workforce Needed in the US
Characteristics of rural registered nurses and the implications for workforce policy
PURPOSE: Rural registered nurses (RNs) play an integral role in providing care for an underserved population with worse health outcomes than urban counterparts. However, little information is available on the profile of this workforce, which is necessary to understand the capacity of these nurses to provide quality and demanded care presently and in the future. METHODS: We utilize data from the American Community Survey to provide a contemporary …
Marriage, Children, and Sex-Based Differences in Physician Hours and Income
In this cross-sectional study of US physicians, marriage and children were associated with a greater earnings penalty for female physicians, primarily due to fewer hours worked relative to men. Addressing the barriers that lead to women working fewer hours could contribute to a reduction in the male-female earnings gap while helping to expand the effective physician workforce
Projecting the Future Registered Nurse Workforce After the Covid-19 Pandemic
In this study, the rebound in the total size of the US RN workforce during 2022 and 2023 indicates that the earlier drop in RN employment during the first 2 years of the COVID-19 pandemic was likely transitory. Updated forecasts of the future RN workforce are very close to those made before the pandemic
Medicine (15 obras) · Nursing (11 obras) · Health care (7 obras) · Nursing Roles and Practices (6 obras) · Workforce (6 obras) · Economic growth (5 obras) · Economics (5 obras) · Gerontology (5 obras) · Population (5 obras) · Business (4 obras)