Comments on: After 10 Years, What's Next for Nurse Practitioners? by Mark Schultz, NP https://www.nnpbc.com/integration/ Wed, 18 Feb 2026 19:01:46 +0000 hourly 1 https://wordpress.org/?v=6.7.5 By: David Marceniuk NP(F) https://www.nnpbc.com/integration/#comment-37478 Wed, 06 Apr 2016 19:51:37 +0000 https://www.nnpbc.com/blog/?p=1239#comment-37478 Great blog Mark.
There needs to be openness within the nursing community to understand and appreciate the pros and cons of different funding models available. If we continue to reject the current funding options we will continue to be on the sidelines of health care in this province. Many NP positions are limited to very specific patient populations and as such we are excluding the majority of BC residents. It is rare in this province to be able to freely choose to receive your care from an NP. Until we integrate ourselves into the current primary care system of this province this will continue.

]]> By: Sally Thorne https://www.nnpbc.com/integration/#comment-37477 Fri, 25 Mar 2016 19:53:51 +0000 https://www.nnpbc.com/blog/?p=1239#comment-37477 Well said, Mark! When the NP initiative began in BC, it was assumed by all concerned that the 'logjam' you mention with respect to MSP funding would be solved imminently and NPs would quckly become a marvelous new resource for primary care around the province. However, no one counted on how ferocious and political the protectionism would be. Primary care funding is almost exclusively through MSP in this province, and one profession has been granted relatively unfettered control over how it is managed. While Health Authorities were glad to find places to put NPs when funded to do so, few have had significant conventional primary care reach. We look forward to a day when there will be sufficient political will to do what is right and create rational reimbursement models in alignment with both primary care and the health authority structures. It is the same patient moving back and forth between these two misaligned 'systems.' So often, we know there is adequate funding within the system overall to provide the services that British Columbians need, but these frustratingly complex ideological and political barriers prevent sensible care coordination solutions. We must keep explaining this loudly and strongly to all who will listen. And eventually this structural barrier between primary and secondary/tertiary care will be a thing of the past.

Thanks for this powerful reminder!.
And thanks to all of the NPs of this province who have kept the vision alive despite these significant challenges.

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