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Patient Satisfaction of Young Adults in Rural ClinicsPolicy Implications for Nurse Practitioner PracticeCollege of Nursing, University of Illinois at Chicago, kblemley{at}uic.edu
Rehabilitation Research and Training Center on Aging With Developmental Disabilities, University of Illinois at Chicago In an effort to increase primary care services to Medicare and Medicaid patients, the Rural Health Clinics Services Act of 1977 required collaborative practices to include mid-level providers such as nurse practitioners (NPs). As a result, NPs have increased access to primary care in many rural and underserved areas. Now, in an effort to improve quality of health care, the Centers for Medicare and Medicaid Services (CMS) initiated public reporting of health care quality indicators. Although patient satisfaction is recognized as a quality indicator, few researchers have investigated patient satisfaction with NPs in rural family practice. A patient satisfaction survey (PSS) was distributed to a convenience sample of 213 young adult patients seen by five nurse practitioners in two rural family practice clinics. Survey results are analyzed and discussed within the framework of current CMS policy initiatives such as performance measures, pay for performance (P4P), transparency, and public reporting.
Key Words: Patient Satisfaction • Rural Health • Nurse Practitioners • Quality Indicators
Policy, Politics, & Nursing Practice, Vol. 10, No. 2,
143-152 (2009) |
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