Patient-Centered Medical Homes and nurse-managed health centers could reduce PCP shortage
WEDNESDAY, Nov. 13 (HealthDay News) -- New models of primary care delivery could reduce the anticipated primary care physician shortage, according to an article published Nov. 4 in Medical Economics.
Jeffrey Bendix reviewed two care delivery models that were described in a study in Health Affairs. The Patient-Centered Medical Home and the nurse-managed health center both rely more on non-physician providers than most primary care practices; their potential impact was assessed.
Based on forecasting performed in the study, assuming the current status quo remains, there would be a shortage of 45,000 primary care doctors and a surplus of 38,000 non-physician providers in 2025. If Patient-Centered Medical Homes and nurse-managed health centers provided care to 45 and 5 percent of the population, respectively, there would be a reduction in the shortage of primary care providers (to 24,000) and a surplus of 11,000 non-physician providers. The primary care physician shortage could be further decreased with an increase in the panel size of the average Patient-Centered Medical Home provider by 20 percent.
"The authors [of the Health Affairs study] caution, however, that realizing their forecasts will require additional changes, such as liberalizing scope-of-practice laws to allow midlevel providers to perform expanding roles, and new forms of payment that reward providers for population health management and large panel sizes rather than face-to-face visits," Bendix writes.
More Information (http://medicaleconomics.modernmedicine.com/medical-economics/news/could-new-care-delivery-models-solve-primary-care-physician-shortage )