Perceptions of Nurses Practitioners in Primary Care Essay

2749 Words 11 Pages
Introduction:
The purpose of this literature review was to understand the patient perceptions of nurse practitioners in primary care versus a medical physician in primary care. There is very little research that addresses patient perceptions of nurse practitioners delivering primary care versus medical physicians also in primary care. Due to the lack of research in this area, the focus of this literature review shifted to nurse practitioner and physician perceptions of nurse practitioners in primary care and patient outcomes. The one study found on patient perceptions regarding nurse practitioners delivering primary care had similar results to other studies that looked at nurse practitioner and physician perceptions in that the care
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There are many Americans that do not carry health insurance for various reasons. Reasons may include being unemployed, employed but employer does not offer health insurance coverage, employed but the health insurance is to expensive, or pre-existing conditions just to name a few. Since the upholding of the Affordable Care Act by the Supreme Court as being constitutional, there will be millions of Americans that will now be able to afford health insurance and will be seeking to obtain a primary care provider to manage their health needs. The influx in patient population and the shortage of primary care physicians creates a great gap in adequate health care delivery. The Association of American Medical Colleges estimates that already there’s a shortfall of about 25,000 primary care physicians, and that that will grow to 45,000 by 2020 (Stempniak, 2013). This gap has the potential to cause a negative cascade effect on not just the health care system as a whole, but also on the type of health care that we administer to the patient population. There are some solutions out there to help narrow this gap, one being independent nurse practitioners taking on the role of providing primary care. Fletcher et al (2011) concluded in their study that evidence supports the use of nurse practitioners in primary care. The American College of Physicians (2008) also stated that studies have demonstrated that

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