Evidence map›Paper›PMID 11791815›Full record

ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners2002

Economic approaches to doctor/nurse skill mix: problems, pitfalls, and partial solutions.

David Kernick, Anthony Scott

Abstract readReview
In one paragraph

Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Comparing the cost of nurse practitioners and GPs in primary care: modelling economic data from randomised trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Skill-mix change and the general practice workforce challenge.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

David KernickSt Thomas Health Centre, Exeter. su1838@eclipse.co.uk
Anthony Scott

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Against a background of government calls for a radical change in the way the medical workforce is planned and trained, the concept of skill mix seeks to match clinical presentation to an intervention based on an appropriate level of skill and training. Health economics is not the only framework within which these changes can be analysed. However unless the economic issues are thought through clearly there is a danger that resources may be used inefficiently. The aims of this paper are to outline the economic issues in the area of doctor/nurse skill mix and the problems of obtaining correct solutions from the perspective of efficiency. It concludes by offering a pragmatic framework which can facilitate decisions in this area. Although this paper is written from the perspective of primary care, it is equally relevant to skill mix in the secondary care sector.

Indexed as

Family PracticeClinical CompetenceCost-Benefit AnalysisCosts and Cost AnalysisDecision MakingHumansInterprofessional RelationsNurse PractitionersOrganizational InnovationOrganizational ObjectivesPatient Care TeamPersonnel Staffing and SchedulingUnited KingdomWorkforce

Identifiers

PMID11791815
PMCPMC1314200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.