Nursing ETDs
Publication Date
Fall 9-23-2024
Abstract
Low-value healthcare services (LVHSs) are unsupported by current evidence, associated with harmful patient outcomes, and equate to over $100 billion in wasteful spending annually. The aims of this descriptive, comparative study were to establish baseline prevalence and costs associated with LVHS use among primary care nurse practitioners (NPs), and to test the influence of different geographical regions and patient populations. A secondary data analysis of the Merative™ MarketScan® 2021 databases was conducted. LVHS prevalence was lower or fairly equal to that of other studies, and direct claim costs were very-low cost. Extremely high low-value lumbar radiographic imaging claim costs were found in Nevada, New Mexico, and rural areas. Urban practice location, female beneficiary gender, and younger beneficiary age were not significantly associated with more LVHSs used. Results from this study can be used to track LVHS prescribing trends among NPs and make comparisons across different patient and NP populations.
Degree Name
Nursing
Level of Degree
Doctoral
Department Name
College of Nursing
First Committee Member (Chair)
Barbara Incardona C. Holmes Damron, PhD, RN, FAAN
Second Committee Member
Roberta P. Lavin, PhD, RN, FAAN
Third Committee Member
Jongwon Lee, PhD, RN
Fourth Committee Member
Brady P. Horn, PhD
Keywords
Value-based care, low-value care, healthcare delivery, rural healthcare
Language
English
Document Type
Dissertation
Recommended Citation
Nugent, Sara B.. "Comparing Costs and Predictors of Low-Value Healthcare Service Use Among Primary Care Nurse Practitioners in the Southwest United States." (2024). https://digitalrepository.unm.edu/nurs_etds/67
