Nurses in advanced roles in primary care: Policy levers for implementation

Claudia B. Maier, Linda H. Aiken and Reinhard Busse
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Claudia B. Maier: Technical University, Berlin
Linda H. Aiken: University of Pennsylvania
Reinhard Busse: Technical University, Berlin

No 98, OECD Health Working Papers from OECD Publishing

Abstract: Many OECD countries have undergone reforms over the past decade to introduce advanced roles for nurses in primary care to improve access to care, quality of care and/or to reduce costs. This working paper provides an analysis of these nurse role developments and reforms in 37 OECD and EU countries. Four main trends emerge: 1) the development in several countries of specific advanced practice nursing roles at the interface between the traditional nursing and medical professions; 2) the introduction of various new, supplementary nursing roles, often focused on the management of chronic conditions; 3) the rise in educational programmes to train nurses to the required skills and competencies; and 4) the adoption of new laws and regulations in a number of countries since 2010 to allow certain categories of nurses to prescribe pharmaceuticals (including in Estonia, Finland, France, Netherlands, Poland and Spain).

Keywords: policy response; policyresponse (search for similar items in EconPapers)
JEL-codes: I10 I18 J2 (search for similar items in EconPapers)
Date: 2017-11-20
New Economics Papers: this item is included in nep-hea
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Citations: View citations in EconPapers (10)

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Persistent link: https://EconPapers.repec.org/RePEc:oec:elsaad:98-en

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