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Tapping Nurse Practitioners to Meet Rising Demand for Primary Care

Issue Brief
  1. Designated Health Professional Shortage Area Statistics, Bureau of Clinician Recruitment and Service, Health Resources and Services Administration, U.S. Department of Health & Human Services, 2014, http://ersrs.hrsa.gov/ReportServer/Pages/ReportViewer.aspx?/HGDW_Reports/BCD_HPSA/BCD_HPSA_SCR50_Smry_HTML; Primary Medical Care HPSA Designation Overview, Health Resources and Services Administration, U.S. Department of Health & Human Services, 2014), http://bhpr.hrsa.gov/shortage/hpsas/designationcriteria/primarycarehpsaoverview.html

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  2. Projecting the Supply and Demand for Primary Care Practitioners Through 2020, Health Resources and Services Administration, National Center for Health Workforce, U.S. Department of Health and Human Services, Analysis, 2013, http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/primarycare/

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  3. Projecting the Supply and Demand for Primary Care Practitioners Through 2020, Health Resources and Services Administration, National Center for Health Workforce Analysis, U.S. Department of Health and Human Services, , 2013), http://bhpr.hrsa.gov/healthworkforce/supplydemand/usworkforce/primarycare/

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  4. Physician Shortages to Worsen Without Increases in Residency Training, Association of American Medical Colleges, , https://www.aamc.org/download/153160/data/physician_shortages_to_worsen_without_increases_in_residency_tr.pdf; Stephen Petterson et al., “Projecting US Primary Care Physician Workforce Needs: 2010-2025,” Annals of Family Medicine 10 (6), November/December 2012, http://www.annfammed.org/content/10/6/503.full.pdf+html; “Pediatrician Workforce Policy Statement,” Committee on Pediatric Workforce, American Academy of Pediatrics, Pediatrics 132 (2), August 2013, http://pediatrics.aappublications.org/content/early/2013/07/23/peds.2013-1517.full.pdf+html

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  5. Graduate Medical Education That Meets the Nation’s Health Care Needs, Institute of Medicine, 2014, http://www.nap.edu/catalog/18754/graduate-medical-education-that-meets-the-nations-health-needs

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  6. Highlights from the 2012 National Sample Survey of Nurse Practitioners, Health Resources and Services Administration, Bureau of Health Professions, National Center for Health Workforce Analysis, 2014, http://bhpr.hrsa.gov/healthworkforce/supplydemand/nursing/nursepractitionersurvey/npsurveyhighlights.pdf

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  7. NP Fact Sheet, American Association of Nurse Practitioners, January 2014, http://www.aanp.org/all-about-nps/np-fact-sheet

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  8. Peter Buerhaus et al., “Practice Characteristics of Primary Care Nurse Practitioners and Physicians,” Nursing Outlook, August 2014, http://www.nursingoutlook.org/article/S0029-6554(14)00188-2/abstract

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  9. Mary Mundinger, “Advanced-Practice Nursing -- Good Medicine for Physicians?” New England Journal of Medicine 330(3), January 20, 1994, http://www.nejm.org/doi/full/10.1056/NEJM199401203300314

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  10. Mary Naylor and Ellen Kurtzman, “The Role of Nurse Practitioners in Reinventing Primary Care,” Health Affairs 29 (5), May 2010, http://content.healthaffairs.org/content/29/5/893.abstract; Miranda Laurant et al., “The Impact of Nonphysician Clinicians: Do They Improve the Quality and Cost-Effectiveness of Health Care Services?” Medical Care Research and Review 66 (6) Supplement, December 2009, http://www.ncbi.nlm.nih.gov/pubmed/19880672; Mary Mundinger et al., “Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians,” Journal of the American Medical Association 283 (1), January 2000, http://jama.jamanetwork.com/article.aspx?articleid=192259; Sue Horrocks et al., “Systematic Review of Whether Nurse Practitioners Working in Primary Care Can Provide Equivalent Care to Doctors,” BMJ 324, April 2002, http://www.bmj.com/content/324/7341/819; Miranda Laurant et al., “Substitution of Doctors by Nurses in Primary Care” (Review), Cochrane Database of Systematic Reviews 18 (2), April 2005, http://www.ncbi.nlm.nih.gov/pubmed/15846614; Kevin Grumbach et al., “Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington,” Annals of Family Medicine 1 (2) July 2003, http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466573/; Ira Wilson et al., “Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians,” Annals of Internal Medicine 143 (10), November 2005, http://www.ncbi.nlm.nih.gov/pubmed/16287794

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  11. Amanda Cassidy, “Nurse Practitioners and Primary Care (Updated),” Health Affairs 33 (12), May 2013, http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=79

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  12. Projecting the Supply and Demand for Primary Care Practitioners Through 2020. op. cit.

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  13. NP Scope of Practice Laws, Barton Associates (Sources: American Association of Nurse Practitioners and the 2014 Pearson Report), November 2014, http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of-practice-laws/

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  14. The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, 2011, http://www.nap.edu/catalog/12956/the-future-of-nursing-leading-change-advancing-health

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  15. Medicaid Benefits: Nurse Practitioner Services, 2012, State Health Facts, Kaiser Family Foundation, http://kff.org/medicaid/state-indicator/nurse-practitioner-services/

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  16. NP Scope of Practice Laws, Barton Associates (Sources: American Association of Nurse Practitioners and the 2014 Pearson Report), data current as of November 2014, http://www.bartonassociates.com/nurse-practitioners/nurse-practitioner-scope-of-practice-laws/

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  17. Tine Hansen-Turton et al., “Are Managed Care Organizations in the United States Impeding the Delivery of Primary Care by Nurse Practitioners? A 2012 Update on Managed Care Organization Credentialing and Reimbursement Practices,” Population Management 16 (5), October 2013, http://www.nncc.us/site/images/pdf/NNCC2011ManagedCareReimbursementStudy.pdf

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  18. Susanne Phillips, “26th Annual Legislative Update: Progress for APRN Authority to Practice,” The Nurse Practitioner 39, 1 (January 2014): 29-52, http://journals.lww.com/tnpj/Fulltext/2014/01000/26th_Annual_Legislative_Update__Progress_for_APRN.7.aspx

     

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