Navigation Links
Physician shortage could be cut by new primary care models, study finds
Date:11/5/2013

Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants, according to a new RAND Corporation study.

Expansion of patient-centered medical homes and nurse-managed health centers could help eliminate 50 percent or more of the primary care physician shortage expected to face the U.S. by 2025, according to findings published in the November edition of the journal Health Affairs.

"Growing use of new models of care that depend more on nonphysicians as primary care providers could do much to reduce the nation's looming physician shortage," said David Auerbach, the study's lead author and a policy analyst at RAND, a nonprofit research organization. "But achieving this goal may require changes in policy, such as laws to expand the scope of practice for nurse practitioners and physician assistants, and changes in acceptance, on the part of providers and patients, of new models of care."

Forecasts suggest that as more Americans seek health services once they become newly insured under the Affordable Care Act, physician shortages could worsen. Prominent groups have projected shortages of primary care physicians as high as 45,000 physicians by 2025. Those forecasts do not account for changes in how primary care is delivered, however.

Both patient-centered medical homes and nurse-managed health centers are models of primary care that use a mix of medical providers that is richer in nurse practitioners and physician assistants than today's predominant models of delivering medical care.

Medical homes typically use a team-based approach that incorporates physicians, advance practice nurses, physician assistants, pharmacists, nutritionists and other health professionals. They now account for about 15 percent of primary care nationally.

Nurse-managed health centers provide a full range of primary care and some specialty services. They are managed and operated by nurses, with nurse practitioners functioning as the primary care providers. The clinics now account for only 0.5 percent of primary care and typically are affiliated with an academic health center.

If medical homes expand to deliver nearly half of primary care, the nation's expected physician shortage would fall by 25 percent, according to the RAND study. If nurse-managed health centers expand to account for 5 percent of primary care, the doctor shortage would fall by another 25 percent.

Researchers say those growth rates are plausible under the Affordable Care Act. The use of medical homes has been growing rapidly and the Affordable Care Act provides up to $50 million to support nurse-managed health centers.

But there also are obstacles to wider adoption of the approaches, according to the study. State laws may need to be changed to widen the scope-of-practice for both nurse practitioners and physician assistants so they can fill a wider role in primary care.

In addition, there is a need for medical assistants, licensed practical nurses and aides to perform key functions in the new care models, as well as new payment approaches that reward providers for moving to efficient and effective modes of care.


'/>"/>

Contact: Warren Robak
robak@rand.org
310-451-6913
RAND Corporation
Source:Eurekalert

Related medicine news :

1. Physician Groups Call for Fewer Medical Tests
2. Internal medicine physician specialists release policy paper on reforming Medicaid
3. Physicians call for improvements to countrys public health system to protect US residents
4. A physicians guide for anti-vaccine parents
5. Physicians mindfulness skills can improve care for patient and provider
6. Awards to 5 IU School of Medicine physicians address critical need for geriatricians
7. Image share project gives patients and physicians anytime, anywhere access to medical images
8. Automated breast ultrasound dramatically reduces physician interpretation time
9. Brief training program improves resident physicians empathy with patients
10. Georgetown physician leads national resveratrol study for Alzheimers disease
11. US Army internal medicine Masters, Fellows honored by American College of Physicians
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/18/2017)... ... 18, 2017 , ... “Beyond Our Imaginations: The Infinite God”: shows the importance ... God” is the creation of published author, Mark Lawrence, born in Michigan, the author ... problem with becoming a greater man of God is that I have to be ...
(Date:8/18/2017)... ... ... “Kingdom Mandate for Kingdom Builders”: a call to walk as citizens of ... the creation of published author, John F. McGeorge, Jr. Dr. John F. McGeorge ... He spent three decades training pastors and Christian leaders. He also met ...
(Date:8/18/2017)... ... , ... “Case #10-5411 Veterans Administration”: a personal account of ... Veterans Administration” is the creation of published author, Carol Mulhern, single mother of ... started work at the Coatesville VAMC as a file clerk then later became ...
(Date:8/17/2017)... ... 2017 , ... The award-winning producers of the Innovations with ... for Therapeutic Recreation Certification (NCTRC), slated to air nationwide, fourth quarter 2017. Check ... non-profit, international organization dedicated to professional excellence for the protection of consumers through ...
(Date:8/17/2017)... ... August 17, 2017 , ... CARF International announced that ... its residential drug and alcohol detox program. This accreditation decision represents the highest ... organization’s substantial conformance to the CARF standards. , Behavioral health organizations receiving a ...
Breaking Medicine News(10 mins):
(Date:8/15/2017)... , Aug. 15, 2017  AOTI Inc. announced today that its ... Inc., has recently opened a New York City Office in ... of its unique Topical Wound Oxygen (TWO 2 ) homecare therapy. ... Accreditation Commission for Health Care (ACHC) under the company,s DMEPOS accreditation ... ...
(Date:8/8/2017)...   Second-quarter 2017 revenues of ... share from continuing operations ... to $110 million Second-quarter ... million Second-quarter 2017 adjusted ... 8 percent to $0.93 ...
(Date:8/7/2017)...  Endo International plc (NASDAQ: ENDP ) ... all known U.S. mesh product liability claims and that ... remaining U.S. claims at reasonable values. Under the agreements, ... quarter of 2017 and continuing through the fourth quarter ... results, the Company intends to increase its mesh product ...
Breaking Medicine Technology: