title: Nontraditional or noncentralized models of diabetes care: models in which other HCPs take on a leading role in managing patients' diabetes.
abstract: Nurse practitioners (NPs) are advanced practice nurses who have increased responsibility,such as prescribing authority. In the NP-led model, the NP is the primary care provider for clinic patients and takes on an autonomous role in patient management. In some states, NP-led clinics are required to have a supervising or collaborating physician. There is evidence that NP-led and physician-led primary care is comparable for multiple health outcomes. The NP-led model emphasizes the strong interaction between health care provider and patient. Challenges of NP-led care include physician resistance, legal restrictions, inaccessibility and cost of malpractice insurance, and limited payouts from insurance companies
authors.forename: K C
authors.initials: KC
authors.lastname: Arnold
mesh_terms: D003920:Diabetes Mellitus / Q000628:therapy*; D019468:Disease Management; D006282:Health Personnel / Q000458:organization & administration; D006801:Humans; D007341:Insurance; D017146:Models, Organizational; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D017063:Outcome Assessment, Health Care; D019555:Physician-Nurse Relations; D057184:Practice Patterns, Nurses' / Q000458:organization & administration / Q000592:standards; D059017:Primary Care Nursing / Q000191:economics / Q000379:methods / Q000592:standards; D011320:Primary Health Care / Q000379:methods; D011321:Primary Nursing / Q000592:standards*