Pre-Post Analysis of the Impact of British Columbia Nurse Practitioner Primary Care Clinics on Patient Health and Care Experience
AbstractObjective: This study aims to evaluate the impact of a primary care nurse-practitioner-led clinic model piloted in British Columbia (Canada) on patients' health and care experience. Design: The study relies on a quasi-experimental longitudinal design based on a pre-and-post survey of patients receiving care in NP-Led clinics. The pre-rostering survey (T0) was focused on patients' health status and care experiences preceding being rostered to the NP clinic. One year later, patients were asked to complete a similar survey (T1) focused on the care experiences with the NP clinic. Setting: To solve recurring problems related to poor primary care accessibility, British Columbia opened four pilot NP-led clinics in 2020. Each clinic has the equivalent of approximately six full-time NPs, four other clinicians plus support staff. Clinics are located in four cities ranging from core urban to peri rural. Participants: Recruitment was conducted by the clinic's clerical staff or by their care provider. A total of 437 usable T0 surveys and 254 matched and usable T1 surveys were collected.