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Improving Provider Experience and Increasing Patient Access Through Nurse Practitioner–Physician Primary Care Teams

D'Afflitti, Joanna, MD, MPH; Lee, Kristen, MD; Jacobs, Melissa, MSN, ANP-C; Pace, Christine, MD, MSc; Worcester, Jason, MD; Thornton, Sophia, MPH; Lasser, Karen E., MD, MPH

The Journal of Ambulatory Care Management: October/December 2018 - Volume 41 - Issue 4 - p 308–313
doi: 10.1097/JAC.0000000000000252
Original Articles

Team-based care may address burnout in primary care; few studies have examined the impact of nurse practitioner–physician (NP-MD) teams on provider burnout. This article describes a model of NP-MD care teams in an urban safety-net primary care practice. Average time to third next available appointment with a team provider (either NP or MD) decreased by nearly 20 days after implementation of the model. In total, 79% of MDs reported that the model was very or extremely helpful in reducing the burden of work between visits and 100% of NPs reported that they were very or extremely satisfied with their current job.

Boston University Schools of Medicine (Drs D'Afflitti, Lee, Pace, Worcester, and Lasser and Ms Jacobs) and Public Health (Dr Lasser), Boston, Massachusetts; and General Internal Medicine, Boston Medical Center, Boston, Massachusetts (Drs D'Afflitti, Lee, Pace, Worcester, and Lasser and Mss Jacobs and Thornton).

Correspondence: Joanna D'Afflitti, MD, MPH, General Internal Medicine, Boston Medical Center, 801 Massachusetts Avenue, 2nd floor, Boston, MA 02118 (

Drs D'Afflitti and Lee shared first authorship.

The authors have no disclosures or external funding to declare.

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