Evidence map›Paper›PMID 35010551›Full record

ArticleInternational journal of environmental research and public health2021

Increased Accessibility to Primary Healthcare Due to Nurse Prescribing of Medicines.

Dorota Kilańska, Anna Lipert, Marika Guzek, Per Engelseth, Michał Marczak, Kamila Sienkiewicz, Remigiusz Kozłowski

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Nursing Prescribing Is not Implemented in Iran: Suggestions for Health Policymakers.International journal of community based nursing and midwifery · 2024
    Article
  7. Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023
    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

7 authors.

Dorota KilańskaDepartment of Coordinated Care, Medical University of Lodz, 90-131 Lodz, Poland.ORCID 0000-0002-6518-3536
Anna LipertDepartment of Sports Medicine, Medical University of Lodz, 92-213 Lodz, Poland.ORCID 0000-0002-7727-0901
Marika GuzekMedical and Diagnostic Center (MCM), 08-110 Siedlce, Poland.
Per EngelsethNarvik Campus, Tromsø School of Business and Economics, The Arctic University of Norway, 8505 Narvik, Norway.
Michał MarczakDepartment of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland.
Kamila SienkiewiczDepartment of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland.
Remigiusz KozłowskiCenter of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland.ORCID 0000-0003-2781-5341

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since January 2016, nurses and midwives in Poland have had the right, with some restrictions, to prescribe medicines. Consequently, Polish patients received the same opportunity as in other countries worldwide: easier access to certain health services, i.e., medical prescribing. The aim of this study was to assess the impact of structural changes which increased the nurses' competences on the accessibility to prescription visits for patients receiving primary healthcare on the example of Medical and Diagnostic Centre (MDC), and to discuss the general trend of legal changes in nursing profession regulations. We performed a detailed analysis of the data on the MDC patient population in Siedlce who received at least one prescription written by a general practitioner and/or a nurse/midwife in the years 2017-2019.The largest number of prescription visits made by nurses concerned patients aged 50-70 years, as this age range includes the largest number of patients with chronic diseases who need continued pharmacological treatment originally administered by doctors. An increasing tendency for prescription visits made by nurses was recorded, with a simultaneous downward trend in the same type of visits undertaken by doctors at MDC. Nurses' involvement in prescribing medications as a continued pharmacotherapy during holiday seasons results in patients having continuous access to medication. An upward trend was also observed in the number of medications prescribed by nurses per patient. Structural changes in the legal regulations of the nursing profession improve patients' access to prescription visits under primary healthcare. Further research is recommended to evaluate the dynamics of these trends and the impact of newly introduced nursing competences on the accessibility of prescription visits for patients.

Indexed as

MidwiferyNurse MidwivesPhysiciansFemaleHumansPolandPregnancyPrimary Health Careaccess to health servicesnonmedical prescribingnurse prescribingtask shifting

Identifiers

PMID35010551
PMCPMC8751194

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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.