Nurse Practitioner-Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

Annals of Family Medicine
Allison A NorfulLusine Poghosyan

Abstract

Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physicians and specialists. Because nurse practitioners are increasingly managing patient care as independent clinicians, our study objective was to propose a model of nurse practitioner-physician comanagement. We conducted a literature search using the following key words: comanagement; primary care; nurse practitioner OR advanced practice nurse. From 156 studies, we extracted information about nurse practitioner-physician comanagement antecedents, attributes, and consequences. A systematic review of the findings helped determine effects of nurse practitioner-physician comanagement on patient care. Then, we performed 26 interviews with nurse practitioners and physicians to obtain their perspectives on nurse practitioner-physician comanagement. Results were compiled to create our conceptual nurse practitioner-physician comanagement model. Our model of nurse practitioner-physician comanagement has 3 elements: effective communicatio...Continue Reading

Citations

Dec 6, 2018·Policy, Politics & Nursing Practice·Allison A NorfulLusine Poghosyan
Apr 5, 2019·Clinical Nurse Specialist CNS·Ghada DunbarElizabeth Ann Scruth
Sep 1, 2020·Health Care Management Review·Lori SchirleLusine Poghosyan
Sep 15, 2020·Medical Care·Taressa K FrazeEllen Meara
Sep 8, 2020·Applied Nursing Research : ANR·Amy E Papermaster, Jane Dimmitt Champion
Apr 20, 2021·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Barnabas Felix Jia Ren SohYing Lau
Apr 14, 2020·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Elliot J BruhlTom D Thacher
Oct 1, 2021·Journal of Primary Health Care·Maher MustafaJenny Carryer
Feb 4, 2021·Journal of the American Association of Nurse Practitioners·Allison A NorfulLusine Poghosyan
Dec 6, 2021·Journal of Evaluation in Clinical Practice·Allison A NorfulBernard Chang

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