The role of nurse practitioners in reinventing primary care.
Nurse practitioners are the principal group of advanced-practice nurses delivering primary care in the United States. We reviewed the current and projected nurse practitioner workforce, and we summarize the available evidence of their contributions to improving primary care and reducing more costly health resource use. We recommend that nurse practice acts--the state laws governing how nurses may practice--be standardized, that equivalent reimbursement be paid for comparable services regardless of practitioner, and that performance results be publicly reported to maximize the high-quality care that nurse practitioners provide.
Naylor
Mary D
MD
NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. naylor@nursing.upenn.edu
Kurtzman
Ellen T
ET
D009722:Nurse Practitioners / Q000600:supply & distribution*; D024802:Nurse's Role; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration; D011787:Quality of Health Care; D014481:United States; D000078329:Workforce