Debra Barksdale

Introduction Health care delivery in North Carolina is at a pivotal moment and is undergoing rapid transformation. Shifts toward population health, prevention, and community-based care require new models of delivery that extend beyond traditional hospital settings.1 Persistent workforce shortages, increasing patient complexity, and widening disparities in access have exposed the limitations of traditional, facility-based models of care.

By Debra Barksdale, Kristen M. Swanson Barksdale, Debra, and Kristen M. Swanson. 2012. "Response: Encouraging Collaboration Between Physicians and Advanced Practice Registered Nurses in North Carolina." North Carolina Medical Journal 73 (2): 145-46. https:/​/​doi.org/​10.18043/​ncm.73.2.145.

By Debra Barksdale, Christine Kennedy and Shelly Smith The Virginia General Assembly approved expansion of Medicaid last year, providing access to health care for 400,000 Virginians. The question is: Who will provide care to all of these citizens? The American Association of Medical Colleges estimates the nation will face a shortage of primary care physicians until 2032. One viable option for providing high-quality primary care is nurse practitioners.