Physician Perspectives of Nurse Care Management Located in Primary Care Clinics

Abstract

Care management has been suggested as a method to improve management of chronic disease, but its success can depend on the involvement of primary care physicians, especially with referral to care management. Our objective was to identify and characterize physicians' perspectives of care management in order to gain insight into the rationale for referral to care management. The study took place in primary care clinics within an integrated delivery system. Nineteen primary care physicians with varying levels of involvement with care management participated in the study. We performed a qualitative and quantitative analysis ofsemistructured interviews. Four referral patterns emerged that were related to physicians' recognition of care managers' abilities and how care managers were connected to their practice. Results from this study can be used to more effectively implement similar models of chronic disease management, where physician participation is a critical component for successful implementation.

State‐level scope of practice regulations for nurse practitioners impact work environments: Six state investigation

“…NP-physician relationships were favorably rated by NPs across all primary care practices compared to other domains of NP work environment. This finding is consistent with the literature showing favorable relationship between NPs and physicians (Fletcher et al, 2007;Wilcox et al, 2007). Our findings demonstrate that NP-physician relationship was not associated with state-level policy regulations.…”

Provider Perspectives on Essential Functions for Care Management in the Collaborative Treatment of Hypertension: The P.A.R.T.N.E.R. Framework

“…20,21 One study, using semi-structured interviews, reported physician perceptions of the role(s) care managers played; roles identified included patient follow-up, management of difficult patients, care coordination, and patient education. 22 Literature is also available about provider satisfaction with and motivations for working with care management and provider preferences for care manager qualities. [20][21][22][23] To our knowledge, however, provider perspectives on specific functions that should be designed into care management programs have not been examined; providers may have unique perspectives on the care patients should receive, but are unable to deliver on their own.…”

“…22 Literature is also available about provider satisfaction with and motivations for working with care management and provider preferences for care manager qualities. [20][21][22][23] To our knowledge, however, provider perspectives on specific functions that should be designed into care management programs have not been examined; providers may have unique perspectives on the care patients should receive, but are unable to deliver on their own.…”