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Biomedical subjects

M O Mundinger

Publications and source records attributed to M O Mundinger.

23 records · Page 2Linked to original sources
PubMedDate not supplied

Assuring quality and access in advanced practice nursing: a challenge to nurse educators.

In an environment characterized by a projected over-supply of primary care providers and a public seeking higher quality, cost-effective care, advanced practice nurses will be measured not only by their comparative value in delivering conventional primary care, but also by the uniqueness of their contributions to health outcomes. These value-added skills, distinctive to nursing practice at all levels, include health education, disease prevention, health promotion, community resource access, and partnerships with patients. Government, private payors, and national and state regulators all authorize increasingly independent practice by advanced practice nurses. When advanced practice nurses assume such fully accountable primary care roles, their title and certification should be distinctive to that level of practice. A Doctor of Nursing Practice (DNP) degree would signal to the public that nurses--at their highest practice competency--are at the same level as other health professionals holding doctorates (such as MD, DDS, or PharmD).

Clinical Competence↗
PubMedDate not supplied

Can advanced practice nurses succeed in the primary care market?

In the mid-1980s the Columbia University School of Nursing (CUSN) reconfigured its mission to once again become the premier training ground for clinical experts in nursing. Its APN faculty members were expected to function as APN primary care providers in some of its affiliated clinics. Extensive studies at CUSN have validated the high quality and effectiveness of comprehensive APN-managed patient care when compared to a randomly selected group of patients managed by primary care MDs. The issue of APN-MD primary practice fee equity for professional services at Columbia Presbyterian Medical Center was settled by agreement to the same reimbursement per visit, while acknowledging that APNs would customarily have longer contact time with each patient, and therefore a lower number of visits per day. The studies concluded that the ideal configuration of professional health care services would see APNs with hospital admitting priviledges alongside primary care and specialty MDs working collectively to serve their patients together in the new system.

Education, Nursing, Graduate↗
PubMedDate not supplied

Health care trends, Part 2. The new health care team. Panel discussion.

In Part 2 of this third annual panel discussion, six experts talk about the growing diversity of health care providers and what it means for consumers and physicians. Americans are getting their wellness and health care services from a wider variety of non-physician practitioners than ever before. The number of allied health and alternative providers with direct patient access is likely to continue growing. This trend is being driven by consumer demand, by the lobbying efforts of non-physician providers, and by federal, state, and private payers who see the potential for reduced health care spending, greater consumer satisfaction, and better outcomes. In practice, this means physicians and non-physician providers, some of whom may not be sanctioned by the medical establishment, are obligated to collaborate as a team. Members of this new provider team will have to communicate effectively (with each other, with consumers, and with payers) and make evidence-based clinical decisions. Physicians may have to share decision-making with other members of this new health care team.

Community Participation↗