Projecting the Adequacy of the Multiple Sclerosis Neurologist Workforce

Halpern, Michael T.; Kane, Heather; Teixeira-Poit, Stephanie; Ford, Corey C.; Giesser, Barbara; Halper, June; Johnson, Shana; LaRocca, Nicholas G.; Miller, Aaron; Ringel, Steven P.

doi:10.7224/1537-2073.2016-044

Cited by 10 publications

(2 citation statements)

References 18 publications

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“…ing health-related quality of life fall within the scope of NP practice. 6 Yet NPs are not universally employed by MS clinics. Nurse practitioners are licensed by their state Board of Nursing to evaluate, diagnose, order and interpret diagnostic tests, and initiate and manage treatments, including prescribing medications and controlled substances.…”

Section: Methodsmentioning

confidence: 99%

Patient Satisfaction with Physicians and Nurse Practitioners in Multiple Sclerosis Centers

Thotam¹,

Buhse²

2019

International Journal of MS Care

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Background: With the predicted shortage of neurologists, care of patients with multiple sclerosis (MS) may be affected. Nurse practitioners (NPs) have successfully filled the provider gaps in a variety of care settings, with positive effects on care outcomes, including patient satisfaction. The purpose of this study was to determine patient satisfaction with physicians (MDs) and NPs in MS centers. Methods: This is a cross-sectional pilot study wherein a convenience sample was recruited from two MS centers. Demographic data were collected previsit, and satisfaction surveys were completed postvisit using the Patient Satisfaction Questionnaire Short Form (PSQ-18) and the Visit-Specific Satisfaction Instrument (VSQ-9). Different attributes of satisfaction and visit times were analyzed. Results: Patient satisfaction with both types of providers was high. All attributes of satisfaction were comparable for NPs and MDs, and they spent similar amounts of time with their patients, often exceeding the scheduled office visit duration. Encounter length was a strong determinant of patient satisfaction: VSQ-9 scores were significantly lower (P = .01) when duration was less than 20 minutes. Satisfaction was higher (P = .011) in patients who were diagnosed as having MS for 10 years or longer or had progressive MS, irrespective of provider type. Conclusions: This pilot study showed that use of standardized questionnaires to determine patient satisfaction with NPs and MDs was feasible. With the impending neurologist shortage and the increased MS prevalence, a collaborative team approach between NPs and MDs may improve access to care in MS centers without compromising patient satisfaction.

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Section: Methodsmentioning

confidence: 99%

Patient Satisfaction with Physicians and Nurse Practitioners in Multiple Sclerosis Centers

Thotam¹,

Buhse²

2019

International Journal of MS Care

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“…8,9 Unfortunately, there are not enough MS and NI subspecialists available, and anticipated shortages in the future workforce compound the problem. 10 As demand for specialists increases, MS and NI fellowship training programs have been created or expanded. There are currently 69 MS and NI fellowship programs in the United States.…”

Section: Ms and Ni Subspecialtymentioning

confidence: 99%

Consensus Curriculum for Fellowship Training in Multiple Sclerosis and Neuroimmunology

Hua¹,

Obeidat²,

Amezcua³

et al. 2021

Neur Clin Pract

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Management of multiple sclerosis and neuroimmunological disorders has become increasingly complex due to the expanding number of recognized neuroimmune disorders, increased number of therapeutic options, and multi-disciplinary care management needs of people with multiple sclerosis and neuroimmunological disorders. More subspecialists are needed to optimize care of these patients, and many fellowship programs have been created or expanded to increase the subspecialty workforce. Consequently, defining the scope and standardizing fellowship training is essential to ensure trainees receive high quality training. A workgroup was created to develop a consensus fellowship curriculum to serve as a resource for all current and future training programs. This curriculum may also serve as a basis for future accreditation efforts.

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Descriptive analysis of free-text comments on healthcare priorities and experiences in a national sample of people with multiple sclerosis

Chiu

Park

Hoffman

et al. 2019

Multiple Sclerosis and Related Disorders

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Projecting the Adequacy of the Multiple Sclerosis Neurologist Workforce

Abstract: Background: Anecdotal reports suggest shortages among neurologists who provide multiple sclerosis (MS) patient care. However, little information is available regarding the current and future supply of and demand for this neurologist workforce.

Cited by 10 publications

References 18 publications

Patient Satisfaction with Physicians and Nurse Practitioners in Multiple Sclerosis Centers

Patient Satisfaction with Physicians and Nurse Practitioners in Multiple Sclerosis Centers

Consensus Curriculum for Fellowship Training in Multiple Sclerosis and Neuroimmunology

Descriptive analysis of free-text comments on healthcare priorities and experiences in a national sample of people with multiple sclerosis

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