Nurse-Managed Health Centers And Patient-Centered Medical Homes Could Mitigate Expected Primary Care

Authors, Primary Auerbach,David I.;Chen,Peggy G.;Friedberg,Mark W.;Reid,Rachel;Lau,Christopher;Buerhaus,Peter I.;Mehrotra,Ateev
Title Primary Nurse-Managed Health Centers And Patient-Centered Medical Homes Could Mitigate Expected Primary Care Physician Shortage
Periodical Full Health affairs
Pub Year 2013
Volume 32
issue 11
Start Page 1933-1941
Abstract Numerous forecasts have predicted shortages of primary care providers, particularly in light of an expected increase in patient demand resulting from the Affordable Care Act. Yet these forecasts could be inaccurate because they generally do not allow for changes in the way primary care is delivered. We analyzed the impact of two emerging models of care--the patient-centered medical home and the nurse-managed health center--both of which use a provider mix that is richer in nurse practitioners and physician assistants than today's predominant models of care delivery. We found that projected physician shortages were substantially reduced in plausible scenarios that envisioned greater reliance on these new models, even without increases in the supply of physicians. Some less plausible scenarios even eliminated the shortage. All of these scenarios, however, may require additional changes, such as liberalized scope-of-practice laws; a larger supply of medical assistants, licensed practical nurses, and aides; and payment changes that reward providers for population health management.
Publisher Not Available
Place of Publication Not Available
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Cost and Reimbursement;Primary Care Workforce Issues;Policy Issues
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No