Forum Session

The Nursing Center in Concept and Practice: Delivery and Financing Issues in Serving Vulnerable People
September 13, 1999


Karen Matherlee


This Forum session focused on advanced practice nursing's role in providing preventive and primary care in nurse-managed centers to vulnerable populations in this country. Based in part on NHPF's 1998 site visits to Philadelphia and the Utah and Utah-Nevada border area, the meeting examined nursing centers' history, mission, inner-city and rural-frontier outreach, services, workforce, payment concerns, and educational tie-ins. Using a case-study approach, the meeting explored the strong nursing center movement in Pennsylvania, New Jersey, and Delaware, focusing on nursing centers' identification as community health service providers in largely managed care marketplaces. Developing another case study, the meeting probed the closure of a rural-frontier nursing clinic in Nevada (on the Utah border) — despite a thriving practice — due to loss of sponsor support.


Mathy Mezey, RN, EdD, FAAN, Director, John A. Hartford Foundation Institute for the Advancement of Geriatric Nursing Practice, Division of Nursing, New York University; Mary Jo Baisch, RN, MS, Director, Institute for Urban Health Partnerships, School of Nursing, University of Wisconsin-Milwaukee; Katherine K. Kinsey, RN, PhD, FAAN, Director, Neighborhood Nursing Center, LaSalle University School of Nursing; Donna L. Torrisi, BSN, MSN, Director, Abbottsford Community Health Center; Susan E. Huether, RN, PhD, Associate Dean for Clinical Services, College of Nursing, University of Utah

Related Materials

More information available in the accompanying publication, Issue Brief No. 746.

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