Does expanded state scope of practice for nurse practitioners and physician assistants increase primary care utilization in community health centers?

2020 ◽  
Vol 32 (6) ◽  
pp. 459-460
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Nurse Practitioners ◽  
Community Health Centers ◽  
Physician Assistants ◽  
Health Centers ◽  
Scope Of Practice ◽  
Care Utilization ◽  
Primary Care Utilization

scholarly journals Understanding Why Nurse Practitioner (NP) and Physician Assistant (PA) Productivity Varies Across Community Health Centers (CHCs): A Comparative Qualitative Analysis

2020 ◽  
pp. 107755872096089
Author(s):  
Patricia Pittman ◽  
Jeongyoun Park ◽  
Emily Bass ◽  
Qian “Eric” Luo
Keyword(s):  
Community Health ◽  
Nurse Practitioners ◽  
Financial Incentives ◽  
Community Health Centers ◽  
Formal Education ◽  
Qualitative Comparative Analysis ◽  
Physician Assistants ◽  
Health Centers ◽  
High Productivity ◽  
The Difference

This study asks how much and why the productivity of advanced practice clinicians (APCs; nurse practitioners and physician assistants) varies across community health centers (CHCs), as measured in their marginal contribution to overall patient visits. We found APCs in the 90th percentile CHCs provide about 1,840 adjusted-visits per year, whereas APCs in the 10th percentile CHCs provide about 978 adjusted-visits per year. We interviewed leadership at 14 high APC and 16 low APC productivity CHCs to elicit organizational conditions that could explain the difference. Using content analysis and then qualitative comparative analysis, we found several important conditions were more common among high productivity CHCs, including scheduling APCs and physicians for the same number of visits, parity in terms of any financial incentives, and formal education programs for new APCs during onboarding/transition to practice.

Building Improvement Capacity to Create Strong, Effective Primary Care Teams in Community Health Centers

2019 ◽  
Vol 45 (12) ◽  
pp. 838-840
Author(s):  
Kathleen Dwiel ◽  
Taylor Weilnau ◽  
Lindsay Hunt ◽  
Jennifer Azzara ◽  
Russell Phillips ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Primary Care Teams

Primary Care of Patients without Insurance by Community Health Centers

2001 ◽  
Vol 24 (2) ◽  
pp. 47-59 ◽  
Author(s):  
Barbara Lepidus Carlson ◽  
Jill Eden ◽  
Daniel OʼConnor ◽  
Jerrilynn Regan
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers
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