ArticleNursing outlook
Financial models used to embed registered nurses in primary health care settings in the United States: A scoping review.
Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundRegistered nurses (RNs) are increasingly recognized as key contributors to team-based primary care. However, funding limitations and restrictive reimbursement policies hinder their integration. PURPOSE: This scoping review aimed to identify and categorize funding models used to support RN roles in U.S. primary care and evaluate associated cost and clinical outcomes.
methodsGuided by PRISMA-ScR, we searched PubMed, CINAHL, and Ovid Medline for publications in the past 15 years. After screening, 23 studies were included and synthesized. DISCUSSION: Funding models varied and included direct nurse billing, salaried positions, and value-based team payments. Several studies reported reduced emergency department visits, hospitalizations, or Medicare spending due to RN-led care. Others noted limited cost recovery, high infrastructure needs, and billing challenges.
conclusionEmbedding RNs into primary care requires policy changes to expand reimbursement, practice investments in RN training and role optimization, and further research using standardized metrics to assess cost-effectiveness and integration impact.
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Registered trials
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