Accession Number : AD1040926


Title :   UTILIZATION OF ACUTE CARE NURSE PRACTITIONERS TO COMBAT PHYSICIAN SHORTAGES IN THE MILITARY TRAUMA SYSTEM: WORKING TOWARDS IMPROVED OUTCOMES


Descriptive Note : Technical Report


Corporate Author : AIR COMMAND AND STAFF COLLEGE, AIR UNIVERSITY MAXWELL AFB United States


Personal Author(s) : DUNLEVY,APRIL J


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1040926.pdf


Report Date : 01 Oct 2016


Pagination or Media Count : 37


Abstract : The nature of healthcare in the United States is changing. With an ever increasing focus on patient safety, improving overall outcomes and cost containment, new strategies are continually being developed to aid in efforts to provide safe, effective and efficient care. One barrier to this goal is the current national shortage of physician intensivists. As the population ages and increasing numbers of people are living with chronic disease, the need for critical care services is increasing. Current literature supports the utilization of physician intensivists to directly guide care for these critically ill patients in an effort to achieve optimal patient outcomes, however, the growing shortage limits availability of these specialists, potentially increasing morbidity and mortality rates as well as overall costs. While many civilian institutions have begun utilizing modified care teams of physician intensivists and mid-level providers such as nurse practitioners to aid in achieving patient care goals, there is little published to support their use in the military healthcare system.


Descriptors :   military medicine , combat injuries , therapeutics , hospitals , cardiovascular physiological phenomena , department of defense , health care facilities , patient care management , physicians , delivery of health care , military personnel


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE