Have you noticed how many people seem confused about healthcare reform, but talk about
it anyway? It really is a big deal (without the VP expletive)! On April 22, 2010 the …

Physician practice in the nursing home is in crisis. No equivocation. No doubts. The sky is
really falling. How is this possible after so much progress has been made over the past …

Advocacy of a central role for nurse practitioners as primary care providers in ambulatory
care is based on the belief that nurse practitioners can make a potentially significant …

I started my nursing career almost thirty years ago in a diploma program in the Netherlands.
The program gave me a great nursing foundation and special memories of the patients I took …

This chapter focuses on leadership knowledge and skills to navigate the health care
macrosystem. The future will require innovative approaches and business applications …

Rapid social and economic changes are modifying health care delivery systems and health
care financing. These changes require that primary care physicians develop new …

The drastic shift in health care delivery and the accompanying emphasis on health care
outcomes has contributed to a rapid proliferation of nurse practitioner services. Prepared as …

When nurse practitioners (NPs) work to expand their scope of practice through state
legislatures, the opposing lobbying groups are often physician-led organizations. The main …

Kenneth R. Epstein, MD, FACP s managed care becomes an integral part of the healthcare
system in the United States, the role of the primary care physician is rapidly changing. No …

Access to care in the United States has been at a breaking point for some time. Anecdotal
reports of patients having to wait 3 to 6 months to see a specialist are common. The rising …