The Quality and Effectiveness of Care Provided by Nurse Practitioners

被引：157

作者：

Stanik-Hutt, Julie ^{[1
]}

Newhouse, Robin P. ^{[2
]}

White, Kathleen M. ^{[1
]}

Johantgen, Meg ^{[2
]}

Bass, Eric B. ^{[3
,4
]}

Zangaro, George ^{[2
]}

Wilson, Renee ^{[3
]}

Fountain, Lily ^{[2
]}

Steinwachs, Donald M. ^{[3
]}

Heindel, Lou

Weiner, Jonathan P. ^{[2
,3
]}

机构：

[1] Johns Hopkins Univ, Sch Nursing, Baltimore, MD 21218 USA

[2] Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA

[3] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[4] Sch Med, Baltimore, MD USA

来源：

JNP-JOURNAL FOR NURSE PRACTITIONERS | 2013年 / 9卷 / 08期

关键词：

nurse practitioners; quality; systematic review; OF-CARE; COST-EFFECTIVENESS; OUTCOMES; IMPACT; PHYSICIANS; PEOPLE; SATISFACTION; MANAGEMENT; PROGRAM; TRIAL;

D O I：

10.1016/j.nurpra.2013.07.004

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

引用

页码：492 / +

页数：22

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