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Posted: November 15th, 2023
Nurse-led Primary Care Clinics in Underserved Communities: Assessing the Role of Community Nursing in Improving Access to Primary Healthcare Services
Introduction
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Primary healthcare is the first level of contact that individuals, families and communities have with the health system. It is essential for promoting health, preventing disease, managing chronic conditions and reducing health disparities. However, access to primary healthcare is often limited or inadequate for many people, especially those living in underserved communities. These communities face multiple barriers to accessing quality healthcare, such as poverty, lack of insurance, geographic isolation, cultural and linguistic differences, stigma and discrimination. As a result, they experience worse health outcomes and higher mortality rates than the general population.
One of the strategies to improve access to primary healthcare for underserved communities is to establish nurse-led primary care clinics. These are medical facilities run and managed by nurses, who provide a full range of services, including primary care, health promotion, disease prevention and behavioral health care. Nurse-led primary care clinics are intended to address the shortage of primary care physicians, especially in rural and low-income areas, and to offer patient-centered, holistic and culturally competent care that meets the needs and preferences of the communities they serve.
The aim of this paper is to assess the role of community nursing in improving access to primary healthcare services for underserved communities through nurse-led primary care clinics. The paper will review the literature on the benefits, challenges and best practices of nurse-led primary care clinics, as well as the policy implications and recommendations for their implementation and sustainability.
Benefits of Nurse-led Primary Care Clinics
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Nurse-led primary care clinics have been shown to have several benefits for underserved communities, such as:
- Improving access to care: Nurse-led primary care clinics can increase the availability and accessibility of primary healthcare services for underserved populations, especially in rural and low-income areas where there are fewer physicians or other healthcare providers. According to a study by Xue et al. (2019: 2024 - Online Assignment Homework Writing Help Service By Expert Research Writers), nurse practitioners (NPs) are more likely than physicians to practice in low-income and rural areas, and their presence is associated with higher rates of primary care visits and preventive services among these populations. Moreover, nurse-led primary care clinics can offer extended hours, walk-in appointments, telehealth services and mobile units that can reach remote or hard-to-reach communities (Bakerjian et al., 2023; NASEM, 2021a).
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- Enhancing quality of care: Nurse-led primary care clinics can provide high-quality, evidence-based and patient-centered care that meets the physical, mental and social needs of underserved populations. Several studies have found that nurse-led primary care clinics can achieve comparable or better outcomes than physician-led clinics in terms of patient satisfaction, chronic disease management, health behaviors, quality indicators and cost-effectiveness (Bakerjian et al., 2023; NASEM, 2021a; NASEM, 2021b). Additionally, nurse-led primary care clinics can offer comprehensive and integrated services that address the social determinants of health (SDoH), such as housing, food security, education and employment, that affect the health and well-being of underserved communities (NASEM, 2021b).
- Empowering communities: Nurse-led primary care clinics can empower underserved communities by involving them in the design, delivery and evaluation of healthcare services. Nurse-led primary care clinics can adopt a community-oriented approach that engages community members as partners, stakeholders and advocates for their own health. For example,
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