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Advanced Practice Providers in Burn Care, 2013-2022.

Rishub K Das1, Puja M Jagasia1, Amanda E Bailey1

  • 1Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|September 14, 2024
PubMed
Summary

The number of advanced practice providers (APPs) offering burn care in the U.S. surged by 250% from 2013 to 2022. APPs are projected to increase by 56.7% by 2030, highlighting their growing role in burn treatment.

Keywords:
advanced practice providersassistantassociateburn carenursephysicianplastic surgerypractice restrictionspractitionerwound care

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Area of Science:

  • Burn Care and Treatment
  • Healthcare Workforce Analysis
  • Advanced Practice Providers

Background:

  • Burn care is a specialized field with a growing need for services.
  • Physician workforce, particularly surgeons, faces predicted shortages.
  • Advanced practice providers (APPs), including nurse practitioners and physician assistants, play an increasing role in various medical specialties.

Purpose of the Study:

  • To evaluate the prevalence and characteristics of APPs providing burn care in the United States.
  • To analyze trends in APP utilization for burn-related services from 2013 to 2022.
  • To project future trends in APP involvement in burn care.

Main Methods:

  • Retrospective, large cohort study using national Medicare claims data (2013-2022).
  • Analysis of debridement, wound care, and office-based services billed by healthcare professionals.
  • Identification of providers based on reported type and billing codes, including surgeons, other physicians, and APPs.

Main Results:

  • From 2013-2022, APPs constituted 30% of burn care providers.
  • The number of APPs billing for burn care increased by 250.4% (from 714 to 2502).
  • APPs were more likely to be female and practice in micropolitan areas compared to physicians.

Conclusions:

  • APP utilization in burn care has significantly increased and is projected to continue growing.
  • A projected 56.7% increase in APPs providing burn care by 2030 is anticipated.
  • Further discussion on the scope of practice and integration of APPs in burn care is warranted due to workforce trends.