The Impact of Patient Attachments to Nurse Practitioners in a Primary Care Clinic: A Comparative Analysis of Acute Care Utilization

Abstract

Background: The rising demand for accessible primary care services in the face of an aging population and increasing chronic conditions underscores the need to optimize healthcare delivery models. This study investigates the efficacy of patient attachments to Nurse Practitioners (NPs) in reducing acute care utilization in an urban primary care clinic in British Columbia.

Method: Through a comparative analysis of patient panels managed by NPs, including before and after attachment data, significant reductions in emergency department visits, in-patient admissions, and readmissions within 30 days of discharge were observed post-attachment.

Analysis: Statistical analyses confirmed the effectiveness of NP attachments across all providers. Economic analysis revealed substantial cost savings associated with reduced acute care utilization.

Conclusion: These findings underscore the pivotal role of NPs in delivering comprehensive, proactive care, and highlight the economic benefits of investing in patient attachment programs. Moreover, beyond healthcare system benefits, patient attachments to NPs offer direct benefits to patients, enhancing overall well-being and quality of life. Further research into the long-term implications of NP-led primary care and patient attachment programs is warranted to inform healthcare policies and practices, advancing patient-centred, sustainable healthcare delivery models.