title: Financial viability, benefits and challenges of employing a nurse practitioner in general practice.
abstract: This case study examines the financial viability, benefits and challenges of employing a primary healthcare (PHC) nurse practitioner (NP) in a bulk-billing healthcare cooperative in the Australian Capital Territory. There are few empirical case reports in the Australian literature that demonstrate financial sustainability of this type of healthcare professional in primary healthcare. This case study demonstrates that the costs of employing a PHC-NP in general practice are offset by direct and indirect Medicare billings generated by the PHC-NP, resulting in a cost-neutral healthcare practitioner. The success of this model relies on bidirectional collaborative working relationships amongst general practitioners and NPs. PHC-NPs should have a generalist scope of practice and specialist expertise in order to maximise their utility within the general practice environment.
authors.affiliation: National Health Co-op, 20 Cartwright Street, Charnwood, ACT 2615, Australia. Email:.
authors.forename: Christopher
authors.initials: C
authors.lastname: Helms
authors.affiliation: National Health Co-op, 20 Cartwright Street, Charnwood, ACT 2615, Australia. Email:.
authors.forename: Jo
authors.initials: J
authors.lastname: Crookes
authors.affiliation: National Health Co-op, 20 Cartwright Street, Charnwood, ACT 2615, Australia. Email:.
authors.forename: David
authors.initials: D
authors.lastname: Bailey
mesh_terms: D020958:Australian Capital Territory; D004651:Employment; D058006:General Practice / Q000191:economics; D006801:Humans; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D019982:Organizational Case Studies; D000078329:Workforce