The Nurse-Managed Health Center Safety Net: a Policy Solution to Reducing Health Disparities

The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care

“…Several studies also found that APRN-led clinics exhibited increased patient satisfaction by reducing the cost of care, unnecessary advanced imaging studies, preventable patient visits, and work absenteeism 240 . Other studies showed an important role of NPs in nurse-managed health centers (NMHCs), which comprise of more than 250 in the country and provide more than 2.5 million patient encounters yearly and offer care to those in communities who have usually underutilized primary and preventative care services 241 . Morgan, Everett, and Hing examined the number of visits by provider type, when comparing PAs, 234 Poghosyan et al, 2013. NPs, and physicians, and found that there were no differences in the number of visits by provider type and time spent per patient in community health centers (CHCs) is similar to each other 242 .…”

“…•The total demand for primary care physicians is projected to grow by 28,700, from 212,500 FTEs in 2010 to 241,200 FTEs in 2020, a 14-percent increase.…”

Convenient Care Clinics: The Future of Accessible Health Care

“…a demonstration project to evaluate nurse-managed health clinics in urban and rural areas across Pennsylvania, the state with the most nurse-managed clinics." 30 Specifically, the objectives of the evaluation were to "create an extensive descriptive evaluation of clients served and services provided in primary care nurse-managed health clinics; and to compare select population-based measures of quality and health care resource use to nurse-managed health clinics with those of like providers including community health clinics." 30 In response, an extensive descriptive evaluation was conducted at primary care nursemanaged health clinics in Pennsylvania, and select population-based measures of quality and health care resources were compared between nurse-managed health clinics and those of like providers, such as community health clinics.…”

“…30 In response, an extensive descriptive evaluation was conducted at primary care nursemanaged health clinics in Pennsylvania, and select population-based measures of quality and health care resources were compared between nurse-managed health clinics and those of like providers, such as community health clinics. 30 tool. Analysis of questions pertaining to patient access to health care and manner of health care delivered to patients by their primary care providers showed mean aggregate scores ranging from 4.03 to 4.19 on a five-point scale.…”

A journey to become a federally qualified health center

“…Nurse‐managed centers (NMCs) are becoming increasingly important in the U.S. healthcare system in part because of their comprehensive and coordinated philosophy of care and the willingness of advanced practice nurses (APNs) to provide care for vulnerable populations. The positive impact of NMCs on clinical outcomes is well documented (Benkert et al, 2002; Hansen‐Turton, 2005; Pohl, Barkauskas, Benkert, Breer, & Bostrom, 2007). However, the long‐term viability of NMCs is in jeopardy.…”