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π New today! π In @JAMANetworkOpen, with @NateApathy, @Bruce_Landon, and @SusanEdgman we use #EHR data to characterize roles & activities of physicians vs. Advance Practice Providers in primary care vs. medical vs. surgical specialties
jamanetwork.com/journals/jamanβ¦
jamanetwork.com/journals/jamanβ¦
While traditional team-based care models have suggested that physicians would see more new patients and APPs see patients in follow-up, we find that primary care APPs actually see a GREATER proportion of new visits than APPs 
We also show notable differences in EHR use patterns between physicians and APPs across specialty types.
In total, in primary care, physicians are spending MORE daily and weekly time on the EHR than APPs. This is reversed for medical & surgical specialties.
In total, in primary care, physicians are spending MORE daily and weekly time on the EHR than APPs. This is reversed for medical & surgical specialties.
Ultimately, the ways in which APPs are used for visit-based care and EHR-based work, including documentation, differ markedly by specialty.
APPs seem to serve a more substitutive role in primary care, versus a complementary role in medical and surgical specialties.
APPs seem to serve a more substitutive role in primary care, versus a complementary role in medical and surgical specialties.
Our results highlight continued opportunities to enhance team-based care delivery in primary care
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