Let non­physi­cians of­fer pri­mary care: panel

Modern Healthcare - - Late News -

State and na­tional re­im­burse­ment poli­cies should re­move bar­ri­ers that make it hard for nurse prac­ti­tion­ers and physi­cian as­sis­tants to serve as pri­mary-care providers, ac­cord­ing to rec­om­men­da­tions from a di­verse panel rep­re­sent­ing med­i­cal as­so­ci­a­tions, aca­demic in­sti­tu­tions, in­sur­ers, gov­ern­ment and not-for-profit or­ga­ni­za­tions. The Josiah Macy Jr. Foun­da­tion hosted a con­fer­ence in Jan­uary to ad­dress who will pro­vide pri­mary care and how those pro­fes­sion­als will be trained. Par­tic­i­pants then de­vel­oped con­clu­sions and rec­om­men­da­tions, start­ing with the sug­ges­tion to cre­ate in­cen­tives to de­velop “in­no­va­tive mod­els of pri­mary care” and ad­vance knowl­edge about out­comes. There also need to be stronger ties be­tween aca­demic health cen­ters and other pri­ma­rycare sites. Lead­ing the con­fer­ence were cochairs Linda Cro­nen­wett, pro­fes­sor of nurs­ing at the Uni­ver­sity of North Carolina at Chapel Hill School of Nurs­ing, and Vic­tor Dzau, chan­cel­lor for health af­fairs at Duke Uni­ver­sity and pres­i­dent and CEO of Duke Uni­ver­sity Health Sys­tem, Durham, N.C.

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