Scale, Causes, and Implications of the Primary Care Nursing Shortage
As the demand for health care consistently rises and many individuals, even within developed countries, lack access to primary care services, a better un-derstanding of how primary care is deﬁned, the main causes of the primary care shortage both within the United States and across the globe, and key solutions to these issues are paramount. Upon review of the US and inter-national primary care literature, the authors ﬁrst brieﬂy discuss the ﬂuidity of how primary care is deﬁned and how it is applied in nations with differing levels of health care infrastructure. The main causes of the deﬁcit both do-mestically and globally are then examined. Finally, upon careful review of the research produced within the past seven years, this article suggests strategies that maximize the primary care workforce: the effective use of technology, task shifting, interprofessional teams, and more consistent primary care data to build workforce strategies.