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A case report in a Rural Health Center.

M J Haller, J F Collins

    The Journal of Family Practice
    |June 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    A rural health project using nurse practitioners failed due to community perception. Patients felt the nurse practitioner created a barrier to their primary physician, leading to decreased utilization and project withdrawal.

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    Area of Science:

    • Health Services Research
    • Rural Health
    • Nursing Practice

    Background:

    • Rural communities face unique healthcare access challenges.
    • The integration of advanced practice providers, such as nurse practitioners, is explored as a strategy to improve healthcare delivery.
    • Understanding community perception is crucial for the success of novel healthcare models.

    Purpose of the Study:

    • To describe an experiment involving nurse practitioners in rural Nebraska healthcare delivery.
    • To analyze patient utilization and community perception of nurse practitioner services over a 2.5-year period.
    • To discuss implications for future rural health projects utilizing ancillary healthcare personnel.

    Main Methods:

    • A 2.5-year experimental study was conducted in a rural Nebraska community.

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  • Nurse practitioners were utilized for healthcare delivery.
  • Patient visit rates and community feedback were monitored throughout the study period.

    • Main Results:

    • The project experienced initial growth in patient visits, peaking at 825 per month.
    • Community perception shifted, with patients viewing the nurse practitioner as an intermediary to their primary physician.
    • This perception led to a significant drop in visit rates to 375 per month and eventual community withdrawal from the project.

    Conclusions:

    • The study highlights the critical importance of community perception in the adoption of new healthcare models.
    • Perceived barriers in accessing primary care physicians can undermine the success of nurse practitioner programs in rural settings.
    • Future rural health initiatives must carefully consider how ancillary personnel are integrated to avoid alienating patients from primary care providers.