Evidence map›Paper›PMID 11934775›Full record

SynthesisBMJ (Clinical research ed.)2002

Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors.

Sue Horrocks, Elizabeth Anderson, Chris Salisbury

2 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 237 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
237citing papers in PubMed, 19 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.

NCT00461201 naunknown statusnot on this mapstarted 2009, after this paper: background citation

Effectiveness of an Intervention in Primary Care: Randomized Controlled Trial Comparing Care for Patients Requesting Same Day Consultations by Nurse Practitioner vs General Practitioners

TypeinterventionalSponsorCatalan Institute of HealthRan2009Enrolled1,640ConditionsAcute Disease, Nursing Care, Ambulatory Care, Family PracticeArmsNurse practitioner care of patients
NCT01388374 nacompletednot on this mapstarted 2010, after this paper: background citation

A Study on the (Cost-)Effectiveness of Nurse Practitioners Working at the Primary Out of Hours Emergency Service and the Feasibility of Implementing These Nurses

TypeinterventionalSponsorRadboud University Medical CenterRan2010 to 2012Enrolled12,092ConditionsOut of Hours Medical Care, Primary Health CareArmsOther, care provided by Nurse Practitioners
3 · Its place in the literature

Who cites it

237 citing papers in PubMed, 19 syntheses or guidelines pooled it.

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  5. General medical services by non-medical health professionals: a systematic quantitative review of economic evaluations in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Pooled it
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  7. Nurses as substitutes for doctors in primary care.The Cochrane database of systematic reviews · 2018
    Pooled it
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  17. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2012
    Pooled it
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  19. Psychosocial interventions by general practitioners.The Cochrane database of systematic reviews · 2007
    Pooled it
  20. Trial

177 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Sue HorrocksDivision of Primary Health Care, University of Bristol, Bristol BS6 6J.
Elizabeth Anderson
Chris Salisbury

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether nurse practitioners can provide care at first point of contact equivalent to doctors in a primary care setting.

designSystematic review of randomised controlled trials and prospective observational studies. DATA SOURCES: Cochrane controlled trials register, specialist register of trials maintained by Cochrane Effective Practice and Organisation of Care Group, Medline, Embase, CINAHL, science citation index, database of abstracts of reviews of effectiveness, national research register, hand searches, and published bibliographies. INCLUDED STUDIES: Randomised controlled trials and prospective observational studies comparing nurse practitioners and doctors providing care at first point of contact for patients with undifferentiated health problems in a primary care setting and providing data on one or more of the following outcomes: patient satisfaction, health status, costs, and process of care.

results11 trials and 23 observational studies met all the inclusion criteria. Patients were more satisfied with care by a nurse practitioner (standardised mean difference 0.27, 95% confidence interval 0.07 to 0.47). No differences in health status were found. Nurse practitioners had longer consultations (weighted mean difference 3.67 minutes, 2.05 to 5.29) and made more investigations (odds ratio 1.22, 1.02 to 1.46) than did doctors. No differences were found in prescriptions, return consultations, or referrals. Quality of care was in some ways better for nurse practitioner consultations.

conclusionIncreasing availability of nurse practitioners in primary care is likely to lead to high levels of patient satisfaction and high quality care.

Indexed as

Clinical CompetencePrimary Health CareQuality of Health CareClinical Nursing ResearchHumansNurse PractitionersPatient SatisfactionProspective StudiesRandomized Controlled Trials as TopicWorkforce

Identifiers

PMID11934775
PMCPMC100791

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.