University of Victoria, Victoria, British Columbia, Canada.
University of British Columbia, Vancouver, British Columbia, Canada.
Healthc Manage Forum. 2024 Jul;37(4):244-250. doi: 10.1177/08404704241229075. Epub 2024 Jan 30.
In 2020, British Columbia (BC) opened four pilot Nurse Practitioner Primary Care Clinics (NP-PCCs) to improve primary care access. The aim of this economic evaluation is to compare the average cost of care provided by Nurse Practitioners (NPs) working in BC's NP-PCCs to what it would have cost the government to have physicians provide equivalent care. Comparisons were made to both the Fee-For-Service (FFS) model and BC's new Longitudinal Family Physician (LFP) model. The analyses relied on administrative data, mostly from the Medical Services Plan (MSP) and Chronic Disease Registry (CDR) via BC's Health Data Platform. Results show the cost of NPs providing care in the NP-PCCs is slightly lower than what it would cost to provide similar care in medical clinics staffed by physicians paid through the LFP model. This suggests that the NP-PCC model is an efficient approach to increase accessibility to primary care services in BC and should be considered for expansion across the province.
2020 年，不列颠哥伦比亚省（BC）开设了四个护士从业者初级保健诊所（NP-PCC）试点，以改善初级保健服务的可及性。本经济评估旨在比较在 BC 的 NP-PCC 工作的护士从业者（NPs）提供的护理的平均成本，以及政府让医生提供同等护理的成本。比较是基于按服务收费（FFS）模式和 BC 的新纵向家庭医生（LFP）模式进行的。分析依赖于行政数据，主要来自医疗服务计划（MSP）和通过 BC 的健康数据平台的慢性病登记处（CDR）。结果表明，在 NP-PCC 中提供护理的 NPs 的成本略低于通过 LFP 模式支付薪酬的医生在医疗诊所提供类似护理的成本。这表明，NP-PCC 模式是一种提高不列颠哥伦比亚省初级保健服务可及性的有效方法，应考虑在全省范围内推广。
