The Growing Primary Care Nurse Practitioner Workforce: A Solution for the Aging Population Living With Dementia

Am J Geriatr Psychiatry. 2021 Jun;29(6):517-526. doi: 10.1016/j.jagp.2021.01.135. Epub 2021 Feb 3.

Abstract

Redesigning the healthcare workforce to meet the needs of the growing population of persons living with dementia (PLWD), most of whom reside in the community and receive care from primary care providers, is a national priority. Yet, the shortage of adequately trained providers is raising concerns that the primary care system is not equipped to care for PLWD. The growing nurse practitioner (NP) workforce could bridge this gap. In this review, the authors synthesized the existing evidence from fourteen studies on the utilization of NPs to care for PLWD in primary care. Although the authors found that most NPs were engaged in co-management roles, emerging evidence suggests that NPs also serve as primary care providers for PLWD. Findings describe the impact of NP care on the health system, PLWD, and caregiver outcomes. The authors conclude that the optimal utilization of NPs can increase the capacity of delivering dementia-capable primary care.

Keywords: Alzheimer's; Dementia; collaborative dementia care; nurse practitioner; primary care.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Aged
  • Aging
  • Dementia* / therapy
  • Humans
  • Nurse Practitioners*
  • Primary Health Care
  • Workforce