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:12/2/2016)... ... 2016 , ... More than half of American teens report losing their virginity ... with their child about sex related topics, less than 60 percent spoke about deeper ... announce the launch of its second edition of the “Sexual Wellness” campaign, aiming to ...
(Date:12/2/2016)... ... December 02, 2016 , ... Universal Medical ... systems and the first company to offer robotic imaging to veterinary medicine is ... booth # 941 for the American Association of Equine Practitioners 62nd Annual Convention ...
(Date:12/2/2016)... ... ... "Pro3rd Accents Volume 2 is a set of 30 accented lower third ... a few clicks of the mouse," said Christina Austin - CEO of Pixel Film ... various styles with accented animations, rigid boxes, simplistic lines, and more. In Addition, users ...
(Date:12/2/2016)... ... December 02, 2016 , ... Date aired: November 28, ... 2 Diabetes: The Owner’s Manual, http://realtimepressrelease.com/press-releases-tagged-with/daryl-wein , Sharon Kleyne, America’s ... Global Climate Change and Your Health radio program syndicated on Voice of America, ...
(Date:11/30/2016)... ... November 30, 2016 , ... "I hate when the mixture of saliva and ... said an inventor from Bridgewater, N.J. "I thought that there had to be a ... He developed the patent-pending DEFLECTOR to prevent saliva and toothpaste from running down the ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... NEW YORK , December 2, 2016 ... at 5,251.11, down 1.36%; the Dow Jones Industrial Average edged ... closed at 2,191.08, down 0.35%. Losses were broad based as ... Today, Stock-Callers.com has initiated research reports on the following Services ... N.V. (NASDAQ: QGEN ), INC Research Holdings Inc. ...
(Date:12/2/2016)... -- UCB is pleased to announce that 12 scientific abstracts have ... American Epilepsy Society (AES) Annual Meeting, which takes place ... USA. 1-12 Data being presented include ... ® (lacosamide) CV and BRIVIACT ® (brivaracetam) CV. ... state of the union of epilepsy care and antiepileptic drugs ...
(Date:11/30/2016)... 30, 2016 Research and Markets ... for Neuromodulation, Neurovascular, Neurosurgical and Monitoring Devices 2017 - MedView" ... ... The full report suite on the U.S. market for ... systems, intracranial pressure monitoring devices, detachable coils, liquid embolics, catheters, ...
Breaking Medicine Technology: