The article includes statistics like the fact that nearly 8 in 10 (79 percent) Kentuckians said they would be comfortable seeing a
nurse practitioner for routine healthcare. Of those, 50% said they would
be very comfortable, according to The Kentucky Health Issues Poll (KHIP).
"The unique roles played by physicians, nurses, dentists, nurse anesthetists, nurse midwifes, nurse practitioners, physician assistants, podiatrists, pharmacists, paramedics, psychologists, and optometrists are well known and have clinical duties, delineated by government, associated with them. However, for many conditions the expertise of a physician is not strictly required and an individual may be ably served by a nurse practitioner or the like."
"Using APRNs more fully for treatment and for tasks clearly within the scope of their education and expertise can lead to significant health care savings and efficiencies,” Perryman said. "When these savings are spent for other productive purposes, the economy enjoys benefits. Moreover, as health care needs and costs increase and access becomes more challenging, these benefits also will rise.” The report, conducted by economist Ray Perryman, was funded by Texas Team Advancing Health through Nursing, which is a statewide coalition made up of businesses, higher education, health care advocacy groups, hospitals and others.
(Clinician Guide) In response to the need for a comprehensive evaluation of the evidence regarding current therapies for chronic pelvic pain (CPP) in adult women, a systematic review assessed the comparative effectiveness of surgical and non-surgical treatments for CPP and the potential harms of non-surgical approaches. This review focused on noncyclic and mixed cyclic/noncyclic CPP, and excluded pain that was associated with dysmenorrhea, dyspareunia, dyschezia, or dysuria. A total of 36 studies published between January 1990 and May 2011 were reviewed.
(Clinician Guide) A systematic review of 110 clinical studies published between 1988 and 2010 sought to determine the comparative effectiveness, benefits, and adverse effects of angiotensin-converting enzyme inhibitors (ACEIs), angiotensin II receptor blockers (ARBs), and a direct renin inhibitor (DRI) for adults with hypertension.
(Clinician Guide) As an update to a 2005 report, a systematic review of 166 clinical studies published between January 2004 and August 2010 examined the comparative effectiveness, benefits, and adverse effects of treatments for gastroesophageal reflux disease (GERD) and investigated whether there are factors that influence or predict treatment effectiveness.
Andrea Brassard (Robert Wood Johnson Foundation Human Capital Blog, September 2011)
As a nurse, she knows that removing barriers to care and allowing advanced practice registered nurses to practice to the full extent of their education and training helps patients receive the care they need. Ms. Brassard notes that interprofessional collaboration is a partnership that starts with the patient and includes all involved health care providers working together to deliver patient and family centered care. In the end, it’s all about the patient.
Patients indicated they are more satisfied with nurse practitioners' care than with doctors', according to a small survey conducted researchers at the University of Michigan. NPs outscored physicians on more than three-quarters of the satisfaction questions, the findings show.
(Clinician Guide) A systematic review of 83 clinical studies published from 1990 through 2010 was conducted by independent researchers, funded by AHRQ, to synthesize the evidence on what is known and not known on this clinical issue.
Kaiser Commission on Medicaid and the Uninsured (March 2011)
One important strategy is greater reliance on primary care health professionals other than physicians. This brief provides basic information about two major types of primary care providers – nurse practitioners and physician assistants – and considers their potential to increase the supply of primary care as Medicaid expands to cover more uninsured adults.
Leighton Ku, Ph.D., M.P.H., Karen Jones, M.S., Peter Shin, Ph.D., M.P.H., Brian Bruen, M.S., and Katherine Hayes, J.D. (New England Journal of Medicine, February 2011)
Eight states — Oklahoma, Georgia, Texas, Louisiana, Arkansas, Nevada, North Carolina, and Kentucky — face the greatest challenges. These states are expected to have large Medicaid expansions yet now have weak primary care capacity.
Sargen M, Hooker RS, Cooper, RA (The American College of Surgeons, 2011)
Efforts must be made to expand the output of clinicians in all 3 disciplines, while also strengthening the infrastructure of clinical practice and facilitating the delegation of tasks to a broadened spectrum of caregivers in new models of care
(Follow the link on right side of page for entire article)
Esther Hing, M.P.H. and Sayeedha Uddin, M.D., M.P.H. (2008–2009)
This National Center for Health Statistics Data Brief notes APRNs and PAs are treating folks in rural areas throughout the country and serving a role in the primary care arena where the need is greatest.
R. Casey, M.D., Judy Jones, J.D., David A. Gross and Lola Dixon (Journal of the Kentucky Medical Association, September 2005)
Writing about the 600 family practice physician shortfall in the University of Kentucky Rural Health Assessment, "To further complicate matters within the Commonwealth, approximately 400 of Kentucky’s family physicians are age 60 or above (6). At the same time, the state’s rural medical residency programs, as they now exist, realistically can be expected to produce only 16 to 18 new family physicians each year (6). And there is more bad news: Student interest in family medicine at the University of Kentucky, University of Louisville and many other colleges and universities across the country has waned in recent years, as has the number of residency applications."
Each year this report recaps and updates the nurse practice act, rules and regulations for all states and the District of Columbia – a national overview of Nurse Practitioner legislation and healthcare issues.
Barbara J. Safriet JD LLM (National Academies Press)
...wider deployment of, and expanded practice parameters for, advanced practice nurses (APNs). The efficacy of this option is uniquely proven and scalable. These well-trained providers—including nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists—can and do practice across the full range of care settings and patient populations.