Enhancing Health System Integration of Nurse Practitioners in Ontario

Ontario is undergoing significant changes to its health system, including a redesign of primary care through the passing of the Patients’ First Act, 2017 and expected reforms following the election of a new provincial government. These, combined with changes in population health, models and settings of care, have the potential to significantly shift the structure of the health workforce in Ontario and may provide opportunities for the further expansion and integration of the profession. Given this potential for change, this rapid synthesis was requested by the Nurse Practitioner Association of Ontario to determine in what sectors the use of nurse practitioners has been effective, cost-effective and acceptable to patients and families, and the barriers and facilitators to implementation and full integration of nurse practitioners in the Ontario health system.