JAMA Network October 22, 2024
Q. Wilton Sun, Howard P. Forman, Logan Stern, Benjamin J. Oldfield

Key Points

Question Is there an association between clinician staffing (physicians and advanced practice practitioners) and quality-of-care metrics in health centers in the US?

Findings In this cross-sectional study of 791 US health centers, 5 distinct clinician staffing ratio models were identified, and models emphasizing physicians, advanced practice registered nurses, and physician associates were positively associated with distinct sets of individual quality metrics. Staffing models were not associated with 7 of 14 metrics analyzed.

Meaning Clinician staffing may be associated with certain aspects of care quality, underscoring the importance of strategic, tailored staffing to optimize primary care delivery.

Importance Health centers are vital primary care safety nets for underserved populations, but optimal clinician staffing associated with quality care is unclear....

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