Cited by 148Nursing Roles and PracticesHealth Systems, Economic Evaluations, Quality of LifeHealthcare Policy and Management

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Nurse practitioners as an underutilized resource for health reform: Evidence‐based demonstrations of cost‐effectiveness

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Bauer, Jeffrey C.·2010·Journal of the American Academy of Nurse Practitioners

DOI 10.1111/j.1745-7599.2010.00498.x

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Abstract

Healthcare reform in 2009 was motivated by an imperative to reduce the relentless increase in spending on medical care. Many efforts to solve the problem focused on applying proven principles of evidence‐based practice and cost‐effectiveness to find the least‐expensive way to produce a specific clinical service of acceptable quality. This paper combines economic analysis and reviews published literature to show how the goals of healthcare reform can be accomplished by allowing independently licensed nurse practitioners to provide their wide range of services directly to patients in a variety of clinical settings. The paper presents extensive, consistent evidence that nurse practitioners provide care of equal or better quality at lower cost than comparable services provided by other qualified health professionals.

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Authors: Bauer, J. C.
Corresponding author: Bauer, Jeffrey C.
Venue: Journal of the American Academy of Nurse Practitioners
Publisher: Wiley
Published: 2010-04
Volume: 22
Issue: 4
Pages: 228-231
ISSN: 1041-2972 (ISSN-L)
1745-7599
DOI: 10.1111/j.1745-7599.2010.00498.x
OpenAlex: W2029769398
Cited by: 147
References: 0
Citations by year: 2026: 4 · 2025: 4 · 2024: 4 · 2022: 6 · 2021: 7 · 2020: 7 · 2019: 16 · 2018: 8 · 2017: 9 · 2016: 10 · 2015: 20 · 2014: 13 · 2013: 9 · 2012: 16
FWCI: 22.15
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Academy of Nurse Practitioners (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords: nurse practitioners, health care reform, cost-effectiveness, health care costs, quality of care, evidence-based practice, primary care, health care spending
MeSH terms: Cost-Benefit Analysis, Health Policy, Humans, Income, Nurse Practitioners, Primary Health Care, Quality of Health Care, Reimbursement Mechanisms, United States, Nursing Evaluation Research, Professional Autonomy, Health Care Reform, Nurse's Role, Government Regulation, Evidence-Based Nursing

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Nurse practitioners as an underutilized resource for health reform: Evidence‐based demonstrations of cost‐effectiveness

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