{"id":"https://openalex.org/W7225083537","doi":"https://doi.org/10.1016/j.jamda.2026.106504","title":"Describing Nurse Practitioners' Prescription Billings for Residents Living in Long-Term Care in Ontario, Canada: A Descriptive Time Trend Study","display_name":"Describing Nurse Practitioners' Prescription Billings for Residents Living in Long-Term Care in Ontario, Canada: A Descriptive Time Trend Study","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225083537","doi":"https://doi.org/10.1016/j.jamda.2026.106504","pmid":"https://pubmed.ncbi.nlm.nih.gov/42971072"},"language":"en","primary_location":{"id":"doi:10.1016/j.jamda.2026.106504","doi":"https://doi.org/10.1016/j.jamda.2026.106504","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jamda.2026.106504","pdf_url":"https://www.jamda.com/article/S1525-8610(26)00394-4/pdf","source":{"id":"https://openalex.org/S132839637","display_name":"Journal of the American Medical Directors Association","issn_l":"1525-8610","issn":["1525-8610","1538-9375"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Directors Association","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.jamda.com/article/S1525-8610(26)00394-4/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048052137","display_name":"Chantal Backman","orcid":"https://orcid.org/0000-0001-7431-8159","observed_orcids":["https://orcid.org/0000-0001-7431-8159"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]},{"id":"https://openalex.org/I4388482656","display_name":"Ottawa Hospital Research Institute","ror":"https://ror.org/05jtef216","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I153718931","https://openalex.org/I2800722420","https://openalex.org/I4388482656"]},{"id":"https://openalex.org/I4405262235","display_name":"Bruyere Health Research Institute","ror":"https://ror.org/0279hm646","country_code":"CA","type":"education","lineage":["https://openalex.org/I4210145570","https://openalex.org/I4405262235"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Chantal Backman","raw_affiliation_strings":["Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruy\u00e8re Health Research Institute, Ottawa, Ontario, Canada; ICES, Hamilton, Ontario, Canada. Electronic address: chantal.backman@uottawa.ca"],"raw_orcid":"https://orcid.org/0000-0001-7431-8159","affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada; Bruy\u00e8re Health Research Institute, Ottawa, Ontario, Canada; ICES, Hamilton, Ontario, Canada. Electronic address: chantal.backman@uottawa.ca","institution_ids":["https://openalex.org/I153718931","https://openalex.org/I4388482656","https://openalex.org/I4405262235"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101756123","display_name":"Wenshan Li","orcid":"https://orcid.org/0000-0002-7968-2678","observed_orcids":["https://orcid.org/0000-0002-7968-2678"]},"institutions":[{"id":"https://openalex.org/I4388482656","display_name":"Ottawa Hospital Research Institute","ror":"https://ror.org/05jtef216","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I153718931","https://openalex.org/I2800722420","https://openalex.org/I4388482656"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Wenshan Li","raw_affiliation_strings":["Ottawa Hospital Research Institute, Ottawa, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ottawa Hospital Research Institute, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I4388482656"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066817341","display_name":"Stephen G. Fung","orcid":"https://orcid.org/0000-0002-7341-5798","observed_orcids":["https://orcid.org/0000-0002-7341-5798"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Stephen G. Fung","raw_affiliation_strings":["Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080662903","display_name":"Darly Dash","orcid":"https://orcid.org/0000-0002-1881-5465","observed_orcids":["https://orcid.org/0000-0002-1881-5465"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Darly Dash","raw_affiliation_strings":["Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121959356","display_name":"Laura Freeman","orcid":"https://orcid.org/0009-0008-4496-2072","observed_orcids":["https://orcid.org/0009-0008-4496-2072"]},"institutions":[{"id":"https://openalex.org/I153718931","display_name":"University of Ottawa","ror":"https://ror.org/03c4mmv16","country_code":"CA","type":"education","lineage":["https://openalex.org/I153718931"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Laura Freeman","raw_affiliation_strings":["Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada","institution_ids":["https://openalex.org/I153718931"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059222720","display_name":"James Lee","orcid":"https://orcid.org/0000-0002-0747-5346","observed_orcids":["https://orcid.org/0000-0002-0747-5346"]},"institutions":[{"id":"https://openalex.org/I4210147079","display_name":"Institute for Clinical Evaluative Sciences","ror":"https://ror.org/05p6rhy72","country_code":"CA","type":"nonprofit","lineage":["https://openalex.org/I4210147079"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"James Lee","raw_affiliation_strings":["ICES, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ICES, Hamilton, Ontario, Canada","institution_ids":["https://openalex.org/I4210147079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042817744","display_name":"Richard Perez","orcid":"https://orcid.org/0000-0003-3595-486X","observed_orcids":["https://orcid.org/0000-0003-3595-486X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard Perez","raw_affiliation_strings":["ICES, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ICES, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence, and Impact, Hamilton, Ontario, Canada","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059831849","display_name":"Carrie Heer","orcid":"https://orcid.org/0000-0002-6765-3749","observed_orcids":["https://orcid.org/0000-0002-6765-3749"]},"institutions":[{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Carrie Heer","raw_affiliation_strings":["Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada","institution_ids":["https://openalex.org/I185261750"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057509548","display_name":"Joan E. Tranmer","orcid":"https://orcid.org/0000-0001-5192-5992","observed_orcids":["https://orcid.org/0000-0001-5192-5992"]},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Joan Tranmer","raw_affiliation_strings":["School of Nursing, Queen's Health Sciences, Queen's University, Kingston, Ontario, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Queen's Health Sciences, Queen's University, Kingston, Ontario, Canada","institution_ids":["https://openalex.org/I204722609"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5048052137"],"corresponding_institution_ids":["https://openalex.org/I153718931","https://openalex.org/I4388482656","https://openalex.org/I4405262235"],"apc_list":{"value":4370,"currency":"USD","value_usd":4370},"apc_paid":{"value":4370,"currency":"USD","value_usd":4370},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83369854,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":"12","first_page":"106504","last_page":"106504"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.4997999966144562,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.4997999966144562,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.48069998621940613,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.9950000047683716},{"id":"https://openalex.org/keywords/long-term-care-residents","display_name":"long-term care residents","score":0.8790000081062317},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.5950000286102295},{"id":"https://openalex.org/keywords/ontario","display_name":"Ontario","score":0.41999998688697815},{"id":"https://openalex.org/keywords/drug-prescribing","display_name":"drug prescribing","score":0.3490000069141388},{"id":"https://openalex.org/keywords/long-term-care","display_name":"long-term care","score":0.5659999847412109}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.949999988079071},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6686000227928162},{"id":"https://openalex.org/C127142870","wikidata":"https://www.wikidata.org/wiki/Q7838279","display_name":"Trend analysis","level":2,"score":0.5139999985694885},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5109999775886536},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5041999816894531},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44290000200271606},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.3626999855041504},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3384999930858612},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.32089999318122864},{"id":"https://openalex.org/C3019398978","wikidata":"https://www.wikidata.org/wiki/Q837142","display_name":"Nursing homes","level":2,"score":0.29120001196861267},{"id":"https://openalex.org/C2780233487","wikidata":"https://www.wikidata.org/wiki/Q6672123","display_name":"Long-term care","level":2,"score":0.2799000144004822},{"id":"https://openalex.org/C3018572941","wikidata":"https://www.wikidata.org/wiki/Q595071","display_name":"Nurse practitioners","level":3,"score":0.2757999897003174},{"id":"https://openalex.org/C2780612607","wikidata":"https://www.wikidata.org/wiki/Q5155039","display_name":"Community practice","level":3,"score":0.27399998903274536}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1016/j.jamda.2026.106504","doi":"https://doi.org/10.1016/j.jamda.2026.106504","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jamda.2026.106504","pdf_url":"https://www.jamda.com/article/S1525-8610(26)00394-4/pdf","source":{"id":"https://openalex.org/S132839637","display_name":"Journal of the American Medical Directors Association","issn_l":"1525-8610","issn":["1525-8610","1538-9375"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Directors Association","raw_type":"journal-article"},{"id":"pmid:42971072","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42971072","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Directors Association","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.jamda.2026.106504","doi":"https://doi.org/10.1016/j.jamda.2026.106504","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jamda.2026.106504","pdf_url":"https://www.jamda.com/article/S1525-8610(26)00394-4/pdf","source":{"id":"https://openalex.org/S132839637","display_name":"Journal of the American Medical Directors Association","issn_l":"1525-8610","issn":["1525-8610","1538-9375"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Directors Association","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320319966","display_name":"Ontario Ministry of Health and Long-Term Care","ror":"https://ror.org/00tjpb250"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225083537.pdf","grobid_xml":"https://content.openalex.org/works/W7225083537.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W1974487955","https://openalex.org/W2026473225","https://openalex.org/W2154698183","https://openalex.org/W2161883138","https://openalex.org/W2163278718","https://openalex.org/W2186877140","https://openalex.org/W2397412935","https://openalex.org/W2799781495","https://openalex.org/W3005478408","https://openalex.org/W3022858590","https://openalex.org/W3186729030","https://openalex.org/W4210486138","https://openalex.org/W4221015413","https://openalex.org/W4372316714","https://openalex.org/W4400615481","https://openalex.org/W4413970723"],"related_works":["https://openalex.org/W2975171016","https://openalex.org/W2601945220","https://openalex.org/W2039679293","https://openalex.org/W2186877140","https://openalex.org/W2778989208","https://openalex.org/W4412173072","https://openalex.org/W6997130125","https://openalex.org/W2149378992","https://openalex.org/W2421636877","https://openalex.org/W2418214987"],"abstract_inverted_index":{"OBJECTIVES:":[0],"To":[1],"examine":[2],"the":[3,85,115,144,174,188,198],"prescribing":[4,63,180],"patterns":[5],"of":[6,80,90,117,146,178,191,209],"nurse":[7],"practitioners":[8],"(NPs)":[9],"caring":[10],"for":[11,51,72,122,136,183,200,211],"residents":[12,52,123],"living":[13,53],"in":[14,54,57,98,102,114,124,129,133,138,143,151,156,160,181,206],"long-term":[15],"care":[16,210],"(LTC)":[17],"homes":[18,56,126,153],"over":[19],"time":[20,30],"and":[21,24,43,67,69,109,165,196],"by":[22,93,107],"resident-":[23,68],"facility-level":[25,70],"factors.":[26],"DESIGN:":[27],"A":[28],"descriptive":[29],"trend":[31],"study":[32,86,172],"was":[33,77,120,149,173],"conducted":[34],"using":[35],"linked":[36],"administrative":[37],"data":[38],"from":[39,96],"Ontario":[40,182],"between":[41],"2014":[42,99,130,157],"2024.":[44,103],"SETTING":[45],"AND":[46,169],"PARTICIPANTS:":[47],"All":[48],"prescription":[49,91],"claims":[50],"LTC":[55,184,212],"Ontario.":[58],"METHODS:":[59],"Descriptive":[60],"statistics":[61],"summarized":[62],"volumes,":[64],"medication":[65,194],"classes,":[66],"characteristics":[71],"each":[73],"year.":[74],"RESULTS:":[75],"There":[76],"a":[78],"total":[79],"8,720,276":[81],"NP":[82,118,147,179],"prescriptions":[83,119,148],"during":[84],"period.":[87],"The":[88,112,141],"proportion":[89,145],"billings":[92],"NPs":[94,192],"increased":[95],"0.92%":[97],"to":[100,131,158,193],"6.15%":[101],"Variations":[104],"were":[105],"observed":[106],"rurality":[108],"facility":[110],"size.":[111],"increase":[113,142],"proportions":[116],"greater":[121,150],"rural":[125],"(from":[127,154],"0.74%":[128],"13.31%":[132],"2024)":[134,161],"than":[135],"those":[137],"urban":[139],"settings.":[140],"smaller":[152],"0.63%":[155],"7.24%":[159],"compared":[162],"with":[163],"medium":[164],"larger":[166],"homes.":[167],"CONCLUSIONS":[168],"IMPLICATIONS:":[170],"This":[171],"first":[175],"population-level":[176],"analysis":[177],"residents.":[185,213],"Findings":[186],"underscore":[187],"evolving":[189],"contribution":[190],"management":[195],"reinforce":[197],"need":[199],"policies":[201],"that":[202],"optimize":[203],"their":[204],"role":[205],"improving":[207],"quality":[208]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-03T00:00:00"}