Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners

The use of nurse practitioners (NPs) in primary care is one way to address growing patient demand and improve care delivery. However, little is known about trends in NP presence in primary care practices, or about how state policies such as scope-of-practice laws and expansion of eligibility for Med...

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Vydáno v:	Health Affairs Ročník 37; číslo 6; s. 908 - 914
Hlavní autoři:	Barnes, Hilary, Richards, Michael R., McHugh, Matthew D., Martsolf, Grant
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States The People to People Health Foundation, Inc., Project HOPE 01.06.2018
Témata:	Beneficiaries Collaboration Cross-Sectional Studies Female Health care Health care delivery Health care policy Health Care Surveys Health services Humans Interdisciplinary aspects Internet Male Medicaid Medical practices Medicare Nurse practitioners Nurse Practitioners - legislation & jurisprudence Nurse Practitioners - supply & distribution Nurse's Role Nurses Outcome Assessment (Health Care) Patient satisfaction Patients Physician assistants Physicians Physicians, Primary Care - organization & administration Practice Patterns, Physicians' - organization & administration Primary care Primary Health Care - organization & administration Quality of Health Care Rural areas Rural Health Services - organization & administration Rural Population Scope of practice State policies Trends Uninsured people United States Urban Population Welfare recipients Workforce United States United States > US Nurse Practitioners Rural Health Care Workforce Issues Primary Care Team-based Care
ISSN:	0278-2715, 2694-233X, 1544-5208, 2694-233X
On-line přístup:	Získat plný text
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Shrnutí:	The use of nurse practitioners (NPs) in primary care is one way to address growing patient demand and improve care delivery. However, little is known about trends in NP presence in primary care practices, or about how state policies such as scope-of-practice laws and expansion of eligibility for Medicaid may encourage or inhibit the use of NPs. We found increasing NP presence in both rural and nonrural primary care practices in the period 2008-16. At the end of the period, NPs constituted 25.2 percent of providers in rural and 23.0 percent in nonrural practices, compared to 17.6 percent and 15.9 percent, respectively, in 2008. States with full scope-of-practice laws had the highest NP presence, but the fastest growth occurred in states with reduced and restricted scopes of practice. State Medicaid expansion status was not associated with greater NP presence. Overall, primary care practices are embracing interdisciplinary provider configurations, and including NPs as providers can strengthen health care delivery.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Article-2 ObjectType-Feature-1 content type line 23
ISSN:	0278-2715 2694-233X 1544-5208 2694-233X
DOI:	10.1377/hlthaff.2017.1158