This paper will describe the role nurse-managed health centers (NMHCs) play as emerging safety-net healthcare providers, primarily in the U.S., but also in New Zealand, the United Kingdom, and Canada. NMHCs represent a growing movement of health centers, usually run by Schools of Nursing or independent non-profit organizations, that have become known for reducing health disparities by providing accessible, quality, comprehensive, primary health care to populations with trouble accessing care. A research evaluation, funded by the U.S. Centers for Medicaid and Medicare Services (CMS), will be presented. The results, which describe the clients served and scope of services provided, document the role of health centers as safety-net providers and describe the barriers to sustainability and to obtaining adequate reimbursement from public and private resources.
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