Evidence map›Paper›PMID 24720861›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2015

Patients' valuation of the prescribing nurse in primary care: a discrete choice experiment.

Karen Gerard, Michela Tinelli, Sue Latter, Alesha Smith, Alison Blenkinsopp

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
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  6. Review
  7. Task Shifting, eHealth and Shared Decision-Making-Preference Heterogeneity in the Adult Population for Developments in Outpatient Primary Healthcare.Health expectations : an international journal of public participation in health care and health policy · 2025
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  16. [Skill mix of nurses and primary health care professionals: a systematic review].Revista panamericana de salud publica = Pan American journal of public health · 2020
    Review
  17. Skill-mix change in general practice: a qualitative comparison of three 'new' non-medical roles in English primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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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

5 authors.

Karen GerardFaculty of Health Sciences, University of Southampton, Southampton, UK.
Michela TinelliLSE Health, London School of Economics, London, UK.
Sue LatterFaculty of Health Sciences, University of Southampton, Southampton, UK.
Alesha SmithSchool of Pharmacy, University of Queensland, Brisbane, Qld, Australia.
Alison BlenkinsoppSchool of Pharmacy, University of Bradford, Bradford, UK.

Funding

Department of Health CDF-2008-01-09
6 · The paper itself

Abstract

backgroundRecently, primary care in the United Kingdom has undergone substantial changes in skill mix. Non-medical prescribing was introduced to improve patient access to medicines, make better use of different health practitioners' skills and increase patient choice. There is little evidence about value-based patient preferences for 'prescribing nurse' in a general practice setting.

objectiveTo quantify value-based patient preferences for the profession of prescriber and other factors that influence choice of consultation for managing a minor illness.

designDiscrete choice experiment patient survey. SETTING AND

participantsFive general practices in England with non-medical prescribing services, questionnaires completed by 451 patients.

main outcome measureStated choice of consultation. MAIN

resultsThere was a strong general preference for consulting 'own doctor' for minor illness. However, a consultation with a nurse prescriber with positive patient-focused attributes can be more acceptable to patients than a consultation provided by a doctor. Attributes 'professional's attention to Patients' views' and extent of 'help offered' were pivotal. Past experience influenced preference. DISCUSSION AND

conclusionRespondents demonstrated valid preferences. Preferences for consulting a doctor remained strong, but many were happy to consult with a nurse if other aspects of the consultation were improved. Findings show who to consult is not the only valued factor in choice of consultation for minor illness. The 'prescribing nurse' role has potential to offer consultation styles that patients value. Within the study's limitations, these findings can inform delivery of primary care to enhance patient experience and substitute appropriate nurse prescribing consultations for medical prescribing consultations.

Indexed as

Choice BehaviorNursesPatient PreferenceAdultDelivery of Health CareFemaleHumansMaleMiddle AgedPharmaceutical ServicesPrimary Health CareReferral and ConsultationSurveys and QuestionnairesUnited Kingdomdiscrete choice experimenthealth service deliverynurse prescribingpatient valuationpreferencesprimary health care

Identifiers

PMID24720861
PMCPMC5810682

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.