Abstract

Aim: To assess the level of complexity of patients in Nurse Practitioner-Led Clinics (NPLCs).
 Background: Complexity has emerged as a key issue in primary health care. There is no easily accessible dataset to evaluate the level of complexity and needs of their patients in this clinic model.
 Methods: NPs at four NPLCs assessed patients during the study period with the PCAM, which is a reliable and valid tool that is used to evaluate physical and biopsychosocial elements contributing to complexity. A total of 677 PCAM evaluations were completed which were analyzed to determine the level of complexity of patients in NPLCs.
 Findings: The results showed that patients with the highest complexity are those with high social/economic needs: low education; low income; low levels of employment.
 Conclusions: These results demonstrate the potential positive impact of an interdisciplinary team and may inform changes to the allocation of resources in the clinic settings.

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