The Role Of Nurse Practitioners In Reinventing Primary Care
- Mary D. Naylor ( [email protected] ) is the Marian S. Ware Professor of Gerontology and director of the NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, in Philadelphia.
- Ellen T. Kurtzman is an assistant research professor in the Department of Nursing Education, George Washington University, in Washington, D.C.
Abstract
Nurse practitioners are the principal group of advanced-practice nurses delivering primary care in the United States. We reviewed the current and projected nurse practitioner workforce, and we summarize the available evidence of their contributions to improving primary care and reducing more costly health resource use. We recommend that nurse practice acts—the state laws governing how nurses may practice—be standardized, that equivalent reimbursement be paid for comparable services regardless of practitioner, and that performance results be publicly reported to maximize the high-quality care that nurse practitioners provide.