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The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia
Open accessAbstract
Redesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen studies on the utilization of NPs to care for PLWD in primary care. Although the authors found that most NPs were engaged in co-management roles, emerging evidence suggests that NPs also serve as primary care providers for PLWD. Findings describe the impact of NP care on the health system, PLWD, and caregiver outcomes. The authors conclude that the optimal utilization of NPs can increase the capacity of delivering dementia-capable primary care.
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Nurse practitioners, physician assistants and other care providers can play a greater role in dementia care delivery, particularly for rural and underserved communities.
“Nurse practitioners, physician assistants and other care providers can play a greater role in dementia care delivery, particularly for rural and underserved communities.643,698”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [698]
The Discussion (page unavailable) proposes expanded nurse practitioner roles in dementia primary care and says physician assistants can help meet the growing needs of people living with dementia. It also calls for considering interdisciplinary teams. The paper does not specifically connect these expanded roles to rural communities or propose them as a solution for underserved communities. (LLM, conf=0.86)
Experimental — accuracy not yet measuredNurse practitioners, physician assistants, and other care providers can play a greater role in dementia care delivery, particularly for rural and underserved communities.
“Nurse practitioners, physician assistants and other care providers can also play a greater role in dementia care delivery, particularly for rural and underserved communities. 739 , 844”
From 2024 Alzheimer's disease facts and figures (2024) · cites this paper as [844]
The Discussion says nurse practitioners could take broader roles in dementia primary care and that physician assistants can help expand the workforce serving people living with dementia. It also calls for consideration of interdisciplinary teams, but does not identify rural or underserved communities as a particular setting for these roles. (LLM, conf=0.85)
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2023 Alzheimer's disease facts and figures
(2023) · Alzheimer's & Dementia · doi:10.1002/alz.13016 · Cited by 3,212
2024 Alzheimer's disease facts and figures
(2024) · Alzheimer's & Dementia · doi:10.1002/alz.13809 · Cited by 2,536
Metadata
- Authors
- Poghosyan, L., Brooks, J. M., Hovsepian, V., Pollifrone, M., Schlak, A. E., & Sadak, T.
- Affiliations
- Columbia University (US)
- University of Washington (US)
- Corresponding author
- Poghosyan, Lusine
- ORCID
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2021-06
- Volume
- 29
- Issue
- 6
- Pages
- 517-526
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC8855473
- OpenAlex
- W3126456904
- Cited by
- 24
- References
- 34
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 7 · 2023: 3 · 2022: 4 · 2021: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research
- National Institute on Minority Health and Health Disparities
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- nurse practitioners, dementia, primary care, workforce shortage, co-management, primary care providers, population aging, caregiver outcomes, dementia care, healthcare workers
- MeSH terms
- Workforce, Aged, Aging, Dementia, Humans, Nurse Practitioners, Primary Health Care
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