Advanced practice clinician care and end-of-life outcomes for community- and nursing home-dwelling Medicare beneficiaries with dementia


Hyesung Oh, Elizabeth M White, Ulrike Muench, Christopher Santostefano, Bishnu Thapa, Cyrus Kosar, Emily A Gadbois, Zainab Toteh Osakwe, Pedro Gozalo, Momotazur Rahman

April 18, 2023

Older adults with Alzheimer's disease and related dementias (ADRD) often face burdensome end-of-life care transfers. Advanced practice clinicians (APCs)-which include nurse practitioners and physician assistants-increasingly provide primary care to this population. To fill current gaps in the literature, we measured the association between APC involvement in end-of-life care versus hospice utilization and hospitalization for older adults with ADRD.