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. 2023 Sep 14;382:e073933. doi: 10.1136/bmj-2022-073933

Table 1.

Characteristics of patients with at least one nurse practitioner or physician assistant visit in 2019. Data percentage, unless otherwise specified

Characteristics Patients with at least one visit
(n=6 806 540)
Patients with no visit
(n=9 443 340)
Estimated likelihood of at least one visit, percentage point difference (95% CI)*
Overall 41.9 58.1
Race/ethnicity:
 White 43.1 56.9 Reference
 Black 40.5 59.5 −4.9 (−5.1 to −4.7)
 Other 34.7 65.3 −5.8 (−6.2 to −5.5)
 Asian 20.3 79.7 −19.0 (−19.3 to −18.7)
 Hispanic 38.5 61.5 −5.3 (−5.5 to −5.1)
 American Indian 57.7 42.3 5.3 (4.6 to 6.1)
Sex:
 Female 44.1 55.9 Reference
 Male 38.7 61.3 −6.2 (−0.63 to −6.0)
Reason for Medicare enrollment:
 Older age 38.9 61.1 Reference
 Disabled 50.9 49.1 5.6 (5.5 to 5.8)
Dual Medicaid enrollment†:
 No 40.3 59.7 Reference
 Yes 47.2 52.8 2.9 (2.8 to 3.1)
Age (years):
 18-29 55.6 44.4 12.8 (12.0 to 13.5)
 30-39 56.3 43.7 12.9 (12.5 to 13.4)
 40-49 56.5 43.5 12.6 (9.6 to 10.2)
 50-59 53.7 46.4 9.9 (9.6 to 10.2)
 60-64 50.9 49.1 7.4 (7.0 to 7.7)
 65-79 40.9 59.1 3.8 (3.7 to 3.9)
 80 and older 36.9 63.1 Reference
Rural:
 Metro (population of >1 million) 34.0 66.0 Reference
 Metro (population of 250 000-1 million) 45.9 54.1 10.6 (10.5 to 10.7)
 Non-metro, non-rural 51.4 48.6 15.1 (14.9 to 15.2)
 Rural 55.9 44.1 19.7 (19.4 to 20.1)
State scope of practice laws for nurse practitioners:
 Restricted 42.0 58.0 Reference
 Reduced 40.8 59.2 −0.4 (−0.6 to −0.2)
 Full 42.7 57.3 1.1 (1.0 to 1.3)

Only patients with at least one visit in 2019 were included in analysis. To characterize which patients were more likely to receive care from a nurse practitioner or physician assistant, we used a multivariable patient level logistic regression of the likelihood of receiving any care from a nurse practitioner or physician assistant (defined as yes or no) among those who received at least one visit in 2019. We presented average marginal effects, which is the average of predicted changes in fitted values for a one unit change for a given covariate. CI=confidence interval.

*

Average estimated marginal effect are adjusted percent differences.

Medicaid is a public health insurance program that covers many Americans on low incomes.