000000868 001__ 868 000000868 005__ 20260120144839.0 000000868 0247_ $$2DOI$$a10.6083/M4FQ9TMH 000000868 037__ $$aETD 000000868 245__ $$aDirect primary care: a descriptive evaluation of a new care delivery model 000000868 260__ $$bOregon Health and Science University 000000868 269__ $$a2012 000000868 336__ $$aDissertation 000000868 502__ $$bPh.D. 000000868 520__ $$aRising numbers of uninsured Americans highlight the gap between health insurance and actual access to care. This project evaluated the financial feasibility and patient acceptability of a direct primary care (DPC) model in a nurse practitioner-owned practice. Under DPC, patients pay a flat monthly fee for agreed-upon services, eliminating third-party billing. Unlike insurance, this model emphasizes direct care delivery. Findings suggest DPC may offer an innovative solution to improve access and continuity of care for uninsured populations, challenging the entrenched conflation of health insurance with health care in U.S. policy and culture. 000000868 540__ $$fCC BY 000000868 542__ $$fIn copyright - single owner 000000868 650__ $$aEvidence-Based Nursing$$038239 000000868 650__ $$aNurse Practitioners$$023075 000000868 650__ $$aResearch$$025336 000000868 650__ $$aClinical Nursing Research$$028382 000000868 650__ $$aNursing$$023082 000000868 650__ $$aPrimary Care Nursing$$039474 000000868 650__ $$aNurse Anesthetists$$023072 000000868 650__ $$aAdvanced Practice Nursing$$038882 000000868 650__ $$aNurse Midwives$$023074 000000868 650__ $$aPrimary Health Care$$024590 000000868 691__ $$aSchool of Nursing$$041370 000000868 7001_ $$aBunker, Teri$$uOregon Health and Science University$$041354 000000868 7201_ $$aMessecar, Deborah$$uOregon Health and Science University$$041354$$7Personal$$eChair 000000868 8564_ $$9d88cd93f-1f16-4b43-8a98-b07c11b76b08$$s901301$$uhttps://digitalcollections.ohsu.edu/record/868/files/871_etd.pdf$$ePublic$$2376a04b09296f0ea50b51c9abfb1cb93$$31 000000868 905__ $$a/rest/prod/4j/03/cz/68/4j03cz680 000000868 909CO $$ooai:digitalcollections.ohsu.edu:868$$pstudent-work 000000868 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000868 980__ $$aTheses and Dissertations