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July 23, 2018

Why Picking the Right Primary Care Provider Matters

Five Smart Questions to Help You Make Your Choice

Joyce Knestrick, PhD, CRNP, FAANP

Picking the right primary care provider (PCP) can be difficult, but it’s one of the most important health care decisions you can make. Patients who receive personalized care tend to make healthier life choices, focus more on prevention and detect health problems earlier. Moreover, a good relationship with a PCP lowers your risk of dying of cancer, heart disease and stroke. In other words, your PCP can make you healthier, if you choose wisely.

So how do you decide? Many patients get stuck blindly choosing a provider and then hoping for the best. Often the default is a physician who accepts a certain insurance.  With fewer and fewer physicians choosing to practice primary care, it’s time to consider a nurse practitioner (NP) - an equally capable provider who offers high quality, patient-centered care.

Increasingly, NPs are the providers of choice for many patients looking to play a more proactive role in their own health. In every state, NPs assess patients, order and interpret tests, make diagnoses and provide treatment – including prescribing medications. They can be found in clinics, hospitals, emergency rooms, urgent care centers, nursing homes and private practices nationwide, and their appeal extends well beyond their six-plus years of advanced education and clinical training.

The differences play out in big and small ways. While both physicians and NPs focus on diagnosing illness, NPs’ training also encourages a wellness-first approach. While physicians are more likely to have gridlocked schedules, NPs by design spend more time with patients. While a physician may be focused on finding the right treatment for stubborn high blood pressure, NPs also look at your diet, exercise and sleep schedules to find possible underlying causes.

In the end, there is no one right answer in choosing a PCP, but there are important considerations to weigh before you make your decision. Here are five smart questions to help guide your choice.

  1.  Do they have the right bedside manner? Take the time to meet with your potential PCP to see how you relate to one another. Do they put you at ease? Do they listen and answer your questions? Do they explain things in terms you understand? Do you trust them? Answers to these gut questions will help you make your decision.
  2.  What are the office logistics? Getting a glimpse into how the office handles calls, appointments, lab work, prescription refills and help lines will influence your experience. Long wait times and limited appointment availability are usually red flags, for example. Practices led by NPs or that use NPs tend to have more availability and better follow-up, so take note of the team.
  3.  Are they equipped to oversee your entire provider team? Because your PCP will be the quarterback of your entire health care team, it’s important to choose someone who is not only familiar with the intricacies of the various specialists and treatment options, but who also has the time to invest in the coordination of your health care. Make sure your provider is committed to your care even when you’re not sitting right in front of them.
  4.  Are they well-liked? Finding a PCP can be a lot like finding the next best restaurant - the good ones get a lot of recommendations. Because NPs tend to have very high satisfaction rates, many add patients based on word of mouth alone.
  5.  Are they culturally aware? There are tons of cultural nuances that influence how patients approach their health. Finding a provider who understands your native language, community norms, societal pressures and the factors that motivate your decisions is key. While physicians tend to practice in more affluent areas, NPs gravitate to where there is the greatest need.  

A good PCP knows your history, your personality, your bad habits and your treatment preferences, and they help you navigate your healthiest life by treating your illness, but more intentionally, promoting your wellness. As we face a mounting physician shortage and changing paradigms for care, NPs are delivering primary care in a way that suits millions of Americans - in over 1 billion patient visits per year. The good news for patients is that there is more choice than ever. It’s what you do with that choice that will impact your health for years to come, so take the time to find a PCP that is right for you.