Proser Michelle, Bysshe Tyler, Weaver Donald, Yee Ronald
Michelle Proser is director of research at the National Association of Community Health Centers in Bethesda, Md. Tyler Bysshe is a senior research associate in the Milken Institute School of Public Health, Department of Health Policy, at George Washington University in Washington, D.C. Donald Weaver is associate medical officer at the National Association of Community Health Centers. Ronald Yee is chief executive officer and chief medical officer at United Health Centers of the San Joaquin Valley in Parlier, Calif. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2015 Apr;28(4):49-53. doi: 10.1097/01.JAA.0000460929.99918.e6.
In response to increased demand for primary care services under the Affordable Care Act, the national network of community health centers (CHCs) will play an increasingly prominent role. CHCs have a broad staffing model that includes extensive use of physician assistants (PAs), nurse practitioners (NPs), and certified nurse midwives (CNMs). Between 2007 and 2012, the number of PAs, NPs, and CNMs at CHCs increased by 61%, compared with 31% for physicians. However, several policy and payment issues jeopardize CHCs' ability to expand their workforce and meet the current and rising demand for care.
根据《平价医疗法案》对初级保健服务需求的增加，全国社区卫生中心网络将发挥越来越重要的作用。社区卫生中心拥有广泛的人员配置模式，包括大量使用医师助理（PA）、执业护士（NP）和认证助产士（CNM）。2007年至2012年间，社区卫生中心的医师助理、执业护士和认证助产士数量增加了61%，而医师数量仅增加了31%。然而，一些政策和支付问题危及社区卫生中心扩大其劳动力队伍以及满足当前和不断增长的护理需求的能力。
