Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington

Grumbach, Kevin; Hart, L. Gary; Mertz, Elizabeth; Coffman, Janet; Palazzo, Lorella

doi:10.1370/afm.49

Cited by 217 publications

(149 citation statements)

References 9 publications

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“…First, limited research has been conducted on the geographic distribution of NPs, nationally, in relation to vulnerable or medically underserved populations, and, importantly, the extent to which state NP SOP regulation affects this distribution. Although NPs tend to be more likely to serve in low-income, minority, and rural areas when compared with PCPs (Grumbach, Hart, Mertz, Coffman, & Palazzo, 2003), the distribution of NPs per capita in relation to vulnerable populations is not well understood. Understanding how the regulatory environment can influence the distribution of NPs in relation to vulnerable populations is critical for the development of effective health policy directives and levers to improve access to care and meet the growing demand for primary care among vulnerable populations.…”

Section: Discussionmentioning

confidence: 99%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

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a b s t r a c tBackground: One proposed strategy to expand primary care capacity is to use nurse practitioners (NPs) more effectively in health care delivery. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. Purpose: The purpose of this study was to examine the impact of state SOP regulations on the following three key issues: (a) NP workforce, (b) access to care and health care utilization, and (c) health care costs. Methods: Systematic review. Results/Discussion: States granting NPs greater SOP authority tend to exhibit an increase in the number and growth of NPs, greater care provision by NPs, and expanded health care utilization, especially among rural and vulnerable populations. Our review indicates that expanded NP practice regulation can impact health care delivery by increasing the number of NPs in combination with easing restrictions on their SOP. Conclusions: Findings show promise that removing restrictions on NP SOP regulations could be a viable and effective strategy to increase primary care capacity.

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Section: Discussionmentioning

confidence: 99%

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

et al. 2016

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“…Recent discussions on the role of PNPs to offer care through transitional periods such as young adulthood, as evidenced by the National Association of Pediatric Nurse Practitioner (NAPNP) Position Statement on Age Parameters, illustrate that the newer classes offered the opportunity for students to explore these and other clinical issues from a pediatric-specific lens that extends into the young adult years. [12] …”

Section: Pnp-specific Curricular Changesmentioning

confidence: 99%

Meeting the needs of pediatric nurse practitioner students today: Challenges of implementing a new curriculum

Thomas

Reyes

Rodriguez

et al. 2015

JNEP

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There has been a dramatic increase of nursing students who have completed schooling in the more generalized field of family practice, and yet, workforce data still shows a growing need for nurse practitioners specializing in pediatrics. In an era of diminishing resources, pediatric programs have always struggled, especially with the alignment of pedagogy and technology. But in the fall of 2012, a team comprised of clinical and tenure-earning faculty rose to overcome these challenges to achieve satisfaction for both teachers and students. Now, after two years of successfully using innovative strategies and improving the quality of our approaches as well as our brand, feedback from our team, faculty, and students remains high. Below we detail our endeavor of encouraging the expansion of Pediatric Nurse Practitioner programs, our evaluation processes, and the educational practices intended to inspire faculty.

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“…6. Coordinate Medicaid and SCHIP outreach and universal enrollment processes, including the use of common application forms that are short and written in easily understood language and translated into multiple languages.…”

Section: Eligibilitymentioning

confidence: 99%

“…In general, pediatricians serve more Medicaid patients than do other primary care physicians. 6,7 On average, 30% of a pediatrician's patients are covered by Medicaid, 8 illustrating the commitment of pediatricians to ensure that Medicaid-insured children have access to a medical home. 9 The 1990s brought significant progress in expanding health care coverage for children younger than 21 years through Medicaid expansions and the creation of the State Children's Health Insurance Program (SCHIP).…”

Section: Introductionmentioning

confidence: 99%

Medicaid Policy Statement

2005

Pediatrics

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Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington

Cited by 217 publications

References 9 publications

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review

Meeting the needs of pediatric nurse practitioner students today: Challenges of implementing a new curriculum

Medicaid Policy Statement

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