Scale, Causes, and Implications of the Primary Care Nursing Shortage

Author:

MacLean Logan1,Hassmiller Susan2,Shaffer Franklin3,Rohrbaugh Kathleen3,Collier Tiffany1,Fairman Julie1

Affiliation:

1. School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania 19104-4217;, ,

2. Robert Wood Johnson Foundation, Princeton, New Jersey 08543;

3. CGFNS International, Inc., Philadelphia, Pennsylvania 19104;,

Abstract

As the demand for health care consistently rises and many individuals, even within developed countries, lack access to primary care services, a better understanding of how primary care is defined, the main causes of the primary care shortage both within the United States and across the globe, and key solutions to these issues are paramount. Upon review of the US and international primary care literature, the authors first briefly discuss the fluidity of how primary care is defined and how it is applied in nations with differing levels of health care infrastructure. The main causes of the deficit both domestically and globally are then examined. Finally, upon careful review of the research produced within the past seven years, this article suggests strategies that maximize the primary care workforce: the effective use of technology, task shifting, interprofessional teams, and more consistent primary care data to build workforce strategies.

Publisher

Annual Reviews

Subject

Public Health, Environmental and Occupational Health,General Medicine

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