Clinicians Who Practice Primarily in Nursing Homes and the Quality of Care for Residents With Alzheimer Disease and Related Dementias

Do physicians and advanced practitioners who practice primarily in nursing homes, often referred to as nursing home or skilled nursing facility specialists (SNFists), provide better care for residents with Alzheimer disease and related dementias?In this cohort study, receipt of care from a SNFist vs a non-SNFist was associated with a 7% decrease in the odds of a hospitalization and a 7% decrease in the odds of an emergency department visit for an ambulatory care–sensitive condition among residents with dementia.These findings suggest SNFists may provide higher-quality care for residents with dementia compared with other clinicians.

Corresponding Author: Hye-Young Jung, PhD, Department of Population Health Sciences, Joan and Sanford I. Weill College of Medicine, Cornell University, 402 E 67th St, New York, NY 10065 (arj2005@med.cornell.edu).

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