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Comparable, but distinct: Perceptions of primary care provided by physicians and nurse practitioners in full and restricted practice authority states

dc.contributor.authorMoldestad, Megan
dc.contributor.authorGreene, Preston A.
dc.contributor.authorSayre, George G.
dc.contributor.authorNeely, Emily L.
dc.contributor.authorSulc, Christine A.
dc.contributor.authorSales, Anne E.
dc.contributor.authorReddy, Ashok
dc.contributor.authorWong, Edwin S.
dc.contributor.authorLiu, Chuan‐fen
dc.date.accessioned2020-11-04T15:58:01Z
dc.date.availableWITHHELD_13_MONTHS
dc.date.available2020-11-04T15:58:01Z
dc.date.issued2020-11
dc.identifier.citationMoldestad, Megan; Greene, Preston A.; Sayre, George G.; Neely, Emily L.; Sulc, Christine A.; Sales, Anne E.; Reddy, Ashok; Wong, Edwin S.; Liu, Chuan‐fen (2020). "Comparable, but distinct: Perceptions of primary care provided by physicians and nurse practitioners in full and restricted practice authority states." Journal of Advanced Nursing 76(11): 3092-3103.
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.urihttps://hdl.handle.net/2027.42/163369
dc.description.abstractAimsTo understand patients- and providers- perceptions of primary care delivered by nurse practitioners (NPs) in the Veterans Affairs Healthcare System.DesignQualitative exploratory study (in convergent mixed- methods design).MethodsSemi- structured interviews in 2016 with primary care providers and patients from facilities in states with full and restricted practice authority for NPs. Patient sample based on reassignment to: (a) a NP; or (b) a different physician following an established physician relationship. Data were analysed using content analysis.ResultsWe interviewed 28 patients, 17 physicians and 14 NPs. We found: (a) NPs provided more holistic care than physicians; (b) patients were satisfied with NPs; and (c) providers- professional experience outweighed provider type.ConclusionsPatients- preferences for NPs (compared with prior physicians) contributed to perceptions of patient centredness. Similarities in providers- perceptions suggest NPs and physicians are both viable providers for primary care.ImpactNurse Practitioners (NPs): practice authorityVeterans Affairs Health care: nurse practitioners will continue to be a viable resource for primary care deliveryUnited States Health care: challenges notions patients may not be satisfied with care provided by NPs and supports expanding their use to provide much- needed access to primary care services; expanding Full Practice Authority would allow states to provide acceptable primary care without diminishing patient or provider experiencesæ è¦ ç ®æ  äº è§£æ £è å å »ç æ ºæ 对é ä¼ å äººå »ç ä¿ å ¥ç³»ç» ä¸­æ ¤ç å¸ æ ä¾ å çº§æ ¤ç ç ç æ³ ã è®¾è®¡æ ¢ç´¢æ §ç å® æ §ç  ç©¶(æ ¶æ æ··å æ ¹æ³ è®¾è®¡)ã æ ¹æ³ 2016å¹´è¿ è¡ ç å ç» æ å è®¿è° ,é è®¿äº å· å æ ¥æ æ ¤ç å¸ ç å ¨ç§ å é å ¨ç§ æ §ä¸ æ ºæ ç å çº§æ ¤ç æ ä¾ è å æ £è ã é æ °å é æ £è æ ·æ ¬:(a) ä¸ å æ ¤ç å¸ ;æ (b)ç¡®ç« å »ç å ³ç³»ç å ¦ä¸ å å »ç ã é ç ¨å 容å æ æ³ å¯¹æ °æ ®è¿ è¡ å æ ã ç» æ æ 们é è®¿äº 28å æ £è ,17å å »ç å 14å æ ¤ç å¸ ã æ 们å ç °:(a)æ ¤ç å¸ æ¯ å »ç æ ä¾ ç æ ¤ç æ ´å ¨é ¢;(b)æ £è å¯¹æ ¤ç å¸ æ å °æ»¡æ ;(c)å »ç æ ºæ ç ä¸ ä¸ ç» éª ç æ é æ¯ å »ç æ ºæ ç±»å ç æ é æ ´å¤§ã ç» è®ºæ £è å¯¹æ ¤ç å¸ ç å 好(ä¸ ä»¥å ç å »ç ç ¸æ¯ )æ å ©äº å»ºç« ä»¥æ £è ä¸ºä¸­å¿ ç è®¤ç ¥ã æ ä¾ è ç è§ å¿µç±»ä¼¼,表æ æ ¤ç å¸ å å »ç é ½æ ¯å ¯è¡ ç å çº§æ ¤ç æ ä¾ è ã å½±å - ¢æ ¤ç å¸ :æ §ä¸ æ ºæ - ¢é ä¼ å äººå »ç ä¿ å ¥ç³»ç» :æ ¤ç å¸ å° ç»§ç»­ä½ ä¸ºæ ä¾ å çº§æ ¤ç æ å ¡ç å ¯ç ¨èµ æº ã - ¢ç¾ å ½å «ç ä¿ å ¥:æ æ è§ å¿µ
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dc.publisherTransmittal sheet
dc.publisherWiley Periodicals, Inc.
dc.subject.otherscope of practice
dc.subject.othernurse practitioner (NP)
dc.subject.otherperceptions
dc.subject.otherprimary care
dc.subject.otherqualitative
dc.subject.othernursing
dc.titleComparable, but distinct: Perceptions of primary care provided by physicians and nurse practitioners in full and restricted practice authority states
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelNursing
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/163369/2/jan14501.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/163369/1/jan14501_am.pdfen_US
dc.identifier.doi10.1111/jan.14501
dc.identifier.sourceJournal of Advanced Nursing
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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