Review of the Literature

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Review of the Literature Sarah Mashen GCU Review of the Literature Introduction A fundamental principal of economic science, identifying a cost-effective way to produce a specified outcome, is a necessary foundation for any health-care system (Bauer, 2010). The health reform battles of 2009 revealed intense differences within political institutions and between key stakeholders. Many efforts to solve the problem focused on applying proven principles of evidenced-based practice and cost-effectiveness to find the least-expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). In providing cost-effective services quality of care should not be reduced in the process. Disagreement over specific solutions has complicated general agreement on how to decrease medical costs without reducing care. Numerous studies indicate that quality is not a problem with reforms allowing advanced practice nurses (APNs) to the opportunity to provide more services in the clinical setting (Bauer, 2010). The published literature also shows that collaborative care involving APNs should be supported to reduce overall spending on health care. The purpose of this paper is provide a comprehensive literature review to identify research that has examined the value and impact of APNs on patient outcomes, institutional costs and quality of care. Review of Literature Bauer, Jeffrey C. 1). This article combines economic analysis and reviews published literature to show how the goals of healthcare reform can be accomplished by allowing independently licensed nurse practitioners to provide their wide range of services directly to patients in a variety of clinical settings. The article also presents extensive consistent evidence that nurse practitioners provide care of equal or better quality at lower cost than comparable services provided by other

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