Improving Provider Experience and Increasing Patient Access Through Nurse Practitioner-Physician Primary Care Teams

J Ambul Care Manage. 2018 Oct/Dec;41(4):308-313. doi: 10.1097/JAC.0000000000000252.

Abstract

Team-based care may address burnout in primary care; few studies have examined the impact of nurse practitioner-physician (NP-MD) teams on provider burnout. This article describes a model of NP-MD care teams in an urban safety-net primary care practice. Average time to third next available appointment with a team provider (either NP or MD) decreased by nearly 20 days after implementation of the model. In total, 79% of MDs reported that the model was very or extremely helpful in reducing the burden of work between visits and 100% of NPs reported that they were very or extremely satisfied with their current job.

MeSH terms

  • Adult
  • Boston
  • Burnout, Professional / prevention & control*
  • Female
  • Health Services Accessibility*
  • Health Services Research
  • Humans
  • Male
  • Nurse Practitioners / psychology*
  • Patient Care Team / organization & administration*
  • Physicians / psychology*
  • Pilot Projects
  • Primary Health Care / organization & administration*
  • Program Development
  • Program Evaluation
  • Safety-net Providers
  • Urban Population