Nurse practitioners, canaries in the mine of primary care reform

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dc.contributor.authorContandriopoulos, Damien
dc.contributor.authorBrousselle, Astrid
dc.contributor.authorBreton, Mylaine
dc.contributor.authorSangster-Gormley, Esther
dc.contributor.authorKilpatrick, Kelley
dc.contributor.authorDubois, Carl-Ardy
dc.contributor.authorBrault, Isabelle
dc.contributor.authorPerroux, Mélanie
dc.date.accessioned2018-03-26T21:45:03Z
dc.date.available2018-03-26T21:45:03Z
dc.date.copyright2016en_US
dc.date.issued2016
dc.description.abstractA strong and effective primary care capacity has been demonstrated to be crucial for controlling costs, improving outcomes, and ultimately enhancing the performance and sustainability of healthcare systems. However, current challenges are such that the future of primary care is unlikely to be an extension of the current dominant model. Profound environmental challenges are accumulating and are likely to drive significant transformation in the field. In this article we build upon the concept of “disruptive innovations” to analyze data from two separate research projects conducted in Quebec (Canada). Results from both projects suggest that introducing nurse practitioners into primary care teams has the potential to disrupt the status quo. We propose three scenarios for the future of primary care and for nurse practitioners’ potential contribution to reforming primary care delivery models. In conclusion, we suggest that, like the canary in the coal mine, nurse practitioners’ place in primary care will be an indicator of the extent to which healthcare system reforms have actually occurred.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.identifier.citationContandriopoulos, D., Brousselle, A., Breton, M., Sangster-Gormley, E., Kilpatrick, K., Dubois, C., Brault, I. & Perroux, M. (2016). Nurse practitioners, canaries in the mine of primary care reform. Health Policy, 120, 682-689. http://dx.doi.org/10.1016/j.healthpol.2016.03.015en_US
dc.identifier.urihttp://dx.doi.org/10.1016/j.healthpol.2016.03.015
dc.identifier.urihttp://hdl.handle.net/1828/9169
dc.language.isoenen_US
dc.publisherHealth Policyen_US
dc.subjectNurse practitioner
dc.subjectPrimary care
dc.subjectQuebec
dc.subjectReform
dc.subject.departmentSchool of Nursing
dc.titleNurse practitioners, canaries in the mine of primary care reformen_US
dc.typeArticleen_US

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