title: Dollars and sense in health reform: interdisciplinary practice and community nursing centers.
abstract: Historically, community nursing centers (CNCs) provided care to underserved populations, and today they are reemerging to provide accessible, nurse-managed care in urban and rural settings. The quality and cost-effectiveness of care provided by advanced practice nurses in a managed-care environment is described using the Neuman Systems Model. Significant documentation from the literature underscores the value of nurse-managed care, but supports the need for interdisciplinary practice. CNC primary and preventive care in a "center without walls" is described and promoted for accessible, cost-effective and quality care in the context of health care reform.
authors.forename: P H
authors.initials: PH
authors.lastname: Walker
mesh_terms: D003151:Community Health Centers / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000458:organization & administration*; D011320:Primary Health Care