In message <[log in to unmask]>, John Marwick
<[log in to unmask]> writes
>Robert Bracchi wrote:
>>
>> Question:
>> How long will it be before there is a study showing that Nurse Practitioners
>> are cheaper, do less investigations,do less referrals and are prefered by
>> patients than the average GP?
>>
>> Answer?
>>
>> Robert Bracchi
>
>An interesting question.
>
>There was a famous randomised trial in Canada in the early 1970s
>(Spitzer WO, et al. The Burlington randomized trial of the nurse
>practitioner. (N Engl J Med, 1974 Jan 31)
>
>and I have just found a meta-analysis on Medline. Here is the URL:
>
>http://www.healthgate.com/cgi-bin/HealthGate/library/nph-db-
>search.cgi?s1=((nurse-practitioners).A06D,A06C.+OR+(nurse+AND+practitioner))+AND
>+AB=TRUE+AND+LA=ENG+AND+(@YM+%3E=199408)&d=XX02§1=FREE+MEDLINE§2=XOFF&se
>ct3=PLURON&l=50&p=2&u=/HealthGate/MEDLINE/search.shtml&r=60&f=G&key=96101816
>
>Both these articles show that the evidence does indeed support the
>effectiveness, safety and patient-acceptability of independent nurse
>practitioners in primary care. I understand the evidence about
>cost-effectiveness is arguable - and would certainly depend on the cost
>structures where the trials are carried out.
>
>Don't look at these if you don't want to know!
>
the length of that URL makes sure that us non-techie types would find it
hard to look! Any short cuts on offer?
Mary
--
Mary Hawking
Kingsbury Court Surgery
Church Street
Dunstable
Beds LU5 4RS
tel:01582 601289 (home)
01582 663218 (surgery)
fax:01582 476488 (surgery)
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|