title: Clients served and services provided by academic nurse-managed centers.
abstract: Currently, no national database for academic nurse-managed centers (ANMCs) exists. These primary care services remain somewhat invisible in the policy and reimbursement areas of the American primary care system and, consequently, are undersupported. The purpose of this article is to describe client and service data from a national study of ANMCs. A cross-sectional survey design was used to collect data from ANMC directors. Usable data were received from 64 centers. ANMCs in the sample were relatively small in terms of patients and volume. Client and service profiles demonstrated variation, which seemed to be reflective of needs relative to populations and communities served. Nearly half of the ANMCs responding served clients of all ages, with services representing the breadth of primary care (i.e., health maintenance and management of minor acute and common chronic illnesses). Evidence of community-focused care was also noted. The reported use of standardized nursing language was low. Standardized medical taxonomies were more commonly used, with International Classification of Diseases, Ninth Revision being the most common. ANMCs provide a small but substantial amount of primary care services in communities served. Findings indicated a need for ANMCs to improve the documentation of their contributions through the use of standardized taxonomies to provide aggregated reporting for policy and research purposes.
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, MI 48109-0482, USA. vhbarkas@umich.edu <vhbarkas@umich.edu>
authors.forename: Violet H
authors.initials: VH
authors.lastname: Barkauskas
authors.forename: Patricia
authors.initials: P
authors.lastname: Schafer
authors.forename: Juliann G
authors.initials: JG
authors.lastname: Sebastian
authors.forename: Joanne M
authors.initials: JM
authors.lastname: Pohl
authors.forename: Ramona
authors.initials: R
authors.lastname: Benkert
authors.forename: Jean
authors.initials: J
authors.lastname: Nagelkerk
authors.forename: Marcia
authors.initials: M
authors.lastname: Stanhope
authors.forename: Susan C
authors.initials: SC
authors.lastname: Vonderheid
authors.forename: Clare L
authors.initials: CL
authors.lastname: Tanner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003151:Community Health Centers / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D039702:Current Procedural Terminology; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D004282:Documentation; D006301:Health Services Needs and Demand; D006801:Humans; D038801:International Classification of Diseases; D016294:Models, Nursing; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D009733:Nursing Diagnosis; D015403:Nursing Evaluation Research; D009734:Nursing Faculty Practice / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D012051:Reimbursement Mechanisms / Q000458:organization & administration; D012579:Schools, Nursing / Q000458:organization & administration; D014481:United States; D018875:Vocabulary, Controlled