Complex patients and interprofessional relationships: Perceptions of primary care nurse practitioners and primary care physicians

2015 ◽  
Vol 27 (11) ◽  
pp. 646-652 ◽  
Author(s):  
Barbara DiCicco-Bloom ◽  
Regina S. Cunningham
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
Care Nurse ◽  
Primary Care Nurse ◽  
Complex Patients

Association of State-Level Restrictions in Nurse Practitioner Scope of Practice With the Quality of Primary Care Provided to Medicare Beneficiaries

2017 ◽  
Vol 76 (5) ◽  
pp. 597-626 ◽  
Author(s):  
Jennifer Perloff ◽  
Sean Clarke ◽  
Catherine M. DesRoches ◽  
Monica O’Reilly-Jacob ◽  
Peter Buerhaus
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Primary Care Physicians ◽  
Scope Of Practice ◽  
Care Nurse ◽  
State Regulations ◽  
Primary Care Nurse ◽  
Quality Of Primary Care

Context: State scope of practice (SoP) laws impose significant restrictions on the services that a nurse practitioner (NP) may provide in some states, yet evidence about SoP limitations on the quality of primary care is very limited. Method: This study uses six different classifications of state regulations and bivariate and multivariate analyses to compare beneficiaries attributed to primary care nurse practitioners and primary care physicians in 2013 testing two hypotheses: (1) chronic disease management, cancer screening, preventable hospitalizations, and adverse outcomes of care provided by primary care nurse practitioners are better in reduced and restricted practice states compared to states without restrictions and (2) by decreasing access to care, SoP restrictions negatively affect the quality of primary care. Findings: Results show a lack of consistent association between quality of primary care provided by NPs and state SoP restrictions. Conclusion: State regulations restricting NP SoP do not improve the quality of care.

scholarly journals Open Mouth, Open Mind: Expanding the Role of Primary Care Nurse Practitioners

2016 ◽  
Vol 30 (5) ◽  
pp. 480-488 ◽  
Author(s):  
Carol A. Clark ◽  
Kathleen A. Kent ◽  
Richard D. Jackson
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Care Nurse ◽  
Open Mouth ◽  
Primary Care Nurse ◽  
Open Mind

Should Primary Care Nurse Practitioners be Permitted to Work in Acute Care Settings?

2017 ◽  
Vol 13 (5) ◽  
pp. 326-327
Author(s):  
Donald Gardenier ◽  
Joyce Knestrick ◽  
Cynthia Edwards-Tuttle
Keyword(s):  
Primary Care ◽  
Acute Care ◽  
Nurse Practitioners ◽  
Care Nurse ◽  
Primary Care Nurse ◽  
Acute Care Settings

scholarly journals Should Primary Care Nurse Practitioners Routinely Screen for Depression?

2016 ◽  
Vol 12 (10) ◽  
pp. 658-659
Author(s):  
Donald Gardenier ◽  
Lindsay Maxwell ◽  
Lili Cargill
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Care Nurse ◽  
Primary Care Nurse

Coordinated Primary Care (“Medical Home” Model)

2009 ◽  
Vol 2 (2) ◽  
pp. 60-64 ◽  
Author(s):  
Mary Petermann Garnica
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Nurse Practitioners ◽  
Medical Home ◽  
Primary Care Physicians ◽  
Team Leaders ◽  
Care Nurse ◽  
Medical Home Model ◽  
Primary Care Practices ◽  
Primary Care Medical Home

Health care is inaccessible and too expensive for a large segment of the U.S. population. In addition, the past decade has produced many reports of significant problems related to safety, quality, and effectiveness in U.S. health care. The future of primary care is in question because of a current and projected worsening shortage of primary care physicians. A physician-led coordinated primary care model has been endorsed by major physicians groups as having the potential to address many of these problems. The model, also known as the “medical home,” has gained momentum and appears likely to play a central role as the nation moves forward to reform health care. Nurse practitioners have traditionally practiced “coordinated primary care” and are ideally suited to lead practices adopting this model of care. This article provides rationale for nurse practitioners to be fully recognized as team leaders of coordinated primary care practices.

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