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Meeting a Primary Care Challenge in the United States
Chronic illness care
JoAnne M Saxe
Clinical Professor; Director, Adult Nurse Practitioner Program
Susan L Janson
Assistant Clinical Professor; Practice Director, Glide Memorial United Methodist Church Health, Services; Mary Harms/Alumnae Endowed Chair
Suzan Stringari-Murray
Associate Clinical Professor; Co-Project Director - Positive Health; HIV Advanced Practice Nurse, Education Program, University of California, United States of America
Jane E Hirsch
Associate Clinical Professor; Director, Nursing Administration Program
Catherine M Waters
A/Professor; Director, Advanced Community Health & International Nursing Program, Dept of Community Health Systems, University of California, San Francisco, United States of America
Abstract
Leading health care experts in the United States have stated that the greatest primary care challenge today is meeting the complex needs of patients with chronic illness/long-term conditions or impairment.
To address this challenge, there is a need for health care system redesign that requires a multidisciplinary team approach, including active participation from professional nurses. In particular, it is essential for advanced practice nurses to provide leadership in health systems design for which they are specifically trained and experienced.
In this article, the primary care challenge related to chronic illness care management is addressed. Future implications for community-based, chronic illness care delivery and the education of future health care providers with a focus on advanced practice nurses will also be discussed.
Keywords
Advanced practice nursing, advanced practice nursing education, chronic care model, chronic disease management, long-term conditions, primary care
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