Hobson Alexandra, Curtis Alexa
School of Nursing and Health Professions, University of San Francisco, San Francisco, California.
J Am Assoc Nurse Pract. 2017 Nov;29(11):644-650. doi: 10.1002/2327-6924.12506. Epub 2017 Aug 31.
Improving healthcare delivery for U.S. veterans is a national priority. The Veterans Health Administration (VHA) employs a variety of team-based, population health strategies to address critical issues in veterans' health including the effective management of chronic disease. Nurse practitioners (NPs) are integral members of the VHA patient care team with a substantial role to play in the organization and delivery of healthcare services for veterans. This report explores the contributions of NPs in team-based, population health strategies within the VHA.
This review of the literature examines peer-reviewed articles published between 2006 and 2017 to explore the contributions of NPs in team-based, population health strategies within the VHA. Search words include veterans, VHA, NPs, population health, panel management, and chronic disease.
NPs are vital members of the VHA primary care team; however, there is a dearth of available evidence reflecting the unique contribution of NPs within VHA team-based, population health management strategies.
The VHA adoption of full practice authority for NP practice provides NPs with an expanded capacity to lead improvements in veterans' health. Future research is needed to fully understand the unique role of the NP in the delivery of population health management strategies for veterans.
改善美国退伍军人的医疗服务是一项国家优先事项。退伍军人健康管理局（VHA）采用了多种基于团队的人群健康策略，以解决退伍军人健康方面的关键问题，包括慢性病的有效管理。执业护士（NPs）是VHA患者护理团队的重要成员，在为退伍军人组织和提供医疗服务方面发挥着重要作用。本报告探讨了NPs在VHA基于团队的人群健康策略中的贡献。
本文献综述研究了2006年至2017年间发表的同行评审文章，以探讨NPs在VHA基于团队的人群健康策略中的贡献。搜索词包括退伍军人、VHA、NPs、人群健康、小组管理和慢性病。
NPs是VHA初级护理团队的重要成员；然而，缺乏反映NPs在VHA基于团队的人群健康管理策略中独特贡献的现有证据。
VHA对NP实践采用全面执业权限，使NPs有更大能力引领退伍军人健康改善。未来需要开展研究，以充分了解NP在为退伍军人提供人群健康管理策略方面的独特作用。
