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http://ssrn.com/abstract=1861454
 
 

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Nurse Practitioners in Primary Care


Frank McClellan


Temple University - James E. Beasley School of Law

Tine Hansen-Turton


affiliation not provided to SSRN

Jamie M Ware


Temple University - James E. Beasley School of Law

August 26, 2011

Temple Law Review, Vol. 82, p. 1235, 2010
Temple University Legal Studies Research Paper No. 2011-27

Abstract:     
This article reflects on the shortage of health care providers and the need to enact laws and create an environment that encourages the growth of nurse practitioners who are competent and poised to fill the primary care gap. Almost one in five Americans lack adequate access to primary health care due to shortages of physicians in their communities, leading many Americans to resort to hospital emergency rooms to meet their non-emergent medical needs and therefore higher costs on the health care system.

As availability of physicians diminishes, more patients will need to see nurse practitioners for their primary health care needs. The nurse practitioner workforce continues to grow at a healthy rate; however, inconsistent state laws, insurance reimbursement practices, and outdated notions of physician-nurse hierarchy are factors in stifling nurse practitioner independent primary care. While the passage of the Affordable Care Act reveals a recognition on the federal level of the critical role nurse practitioners play in primary care and encourages more reliance them by authorizing increased funding to various health care providers, more needs to be done by Congress, courts, state governments, and health insurers to encourage nurse practitioners to provide the critically needed primary care in America.

The article begins by presenting an overview of the trends in primary care and the primary care shortage. Next, it discusses the development of the nurse practitioner role and the scope of practice. It then delves into the obstacles placed on the nurse practitioner in primary care practice. Lastly, the article concludes by discussing the necessary next steps needed to be taken in order to facilitate nurse practitioners filling in the primary care gap within the United States.

Number of Pages in PDF File: 30

Keywords: primary care, nurse practitioners, physician shortage, Patient Protection and Affordable Care Act

JEL Classification: K30, K39

Accepted Paper Series


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Date posted: June 12, 2011 ; Last revised: August 28, 2011

Suggested Citation

McClellan, Frank and Hansen-Turton, Tine and Ware, Jamie M, Nurse Practitioners in Primary Care (August 26, 2011). Temple Law Review, Vol. 82, p. 1235, 2010; Temple University Legal Studies Research Paper No. 2011-27. Available at SSRN: http://ssrn.com/abstract=1861454

Contact Information

Frank McClellan (Contact Author)
Temple University - James E. Beasley School of Law ( email )
1719 N. Broad Street
Philadelphia, PA 19122
United States
Tine Hansen-Turton
affiliation not provided to SSRN ( email )
Jamie M Ware
Temple University - James E. Beasley School of Law ( email )
1719 N. Broad Street
Philadelphia, PA 19122
United States
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