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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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Research works printed but not linked: 9

  1. Carter, M. W., & Porell, F. W. (2005). Vulnerable populations at risk of potentially avoidable hospitalizations: The case of nursing home residents with Alzheimer's disease. American Journal of Alzheimer's Disease and Other Dementia, 20, 349.
  2. Aigner, M. J., Drew, S., & Phipps, J. (2004). A comparative study of nursing home resident outcomes between care provided by nurse practitioners/physicians versus physicians only. Journal of the American Medical Directors Association, 5, 16-23.
  3. Hooker, R. S., Nicholson, J. G., & Le, T. (2009). Does the employment of physician assistants and nurse practitioners increase liability? Journal of Medical Licensure and Discipline, 95(2), 6-16.
  4. Carter, M. W., & Porell, F. W. (2005). Vulnerable populations at risk of potentially avoidable hospitalizations: The case of nursing home residents with Alzheimer's disease. American Journal of Alzheimer's Disease and Other Dementia, 20, 349.
  5. Intrator, O., Zinn, J., & Mor, V. (2004). Nursing home characteristics and potentially preventable hospitalizations of long-stay residents. Journal of the American Geriatrics Society, 52, 1730-1736.
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  8. Sptizer, R. (1997). The vanderbilt university experience. Nursing Management, 28(3), 38-40.
  9. Ettner, S. L., Kotlerman, J., Afifi, A., Vazirani, S., Hays, R. D., Shairo, M., et al. (2006). An alternative approach for reducing the costs of patient care: A controlled trial of the multi-disciplinary doctor-nurse practitioner (MDNP) model. Medical Decision Making, 26(1), 9-17.

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Metadata

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
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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