Let nonphysicians offer primary care: panel
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.