ancient history on this comes from the canadian RCT led by walter spitzer
back in 1970 in which families were randomised to receive their primary
care from a nurse-practitioner or GP. no surprise now (but explosive at
the time) were the conclusions that patients fared as well and many
preferred RNP care. the archaeologists among you might want to sift
through some old journals to unearth the details: N Engl J Med. 1974 Jan
31; 290(5): 251-6. and Ann Intern Med. 1974 Feb; 80(2): 137-42.
cheers
dls
............................................................................
Prof David L. Sackett
Director, NHS R&D Centre for Evidence-Based Medicine
Consultant in Medicine Editor, Evidence-Based Medicine
Nuffield Department of Medicine, University of Oxford
Level 5, John Radcliffe Hospital, Oxford OX3 9DU, England
Phone: +44-(0)1865-221320 Fax: +44-(0)1865 222901
Email: [log in to unmask] WWW: http://cebm.jr2.ox.ac.uk
............................................................................
On Thu, 3 Dec 1998, Miles, Kevin wrote:
>
> We are about to start a nurse-led clinic for women attending this sexual
> health service and currently planning to evaluate this clinic mid-1999
> looking at effectiveness, acceptability and efficiency.
>
> Nurse-led care in the UK has taken off over the past decade but there is a
> definite paucity of rigourous evaluations to provide evidence for providers
> and purchasers alike, to implement and continue such services. What I am
> looking for is any evidence of clinical effectiveness, social acceptability
> and cost effectiveness of nurse-led care generally, and even more
> specifically, in the treatment of STDs.
>
> Also looking for an appropriately tested patient satisfaction questionnaire
> suitable for this acute outpatient area with a focus on quality of care
> that is not too long, easy to administer etc.
>
> Many thanks
>
> Kevin Miles
> Nsg Research Fellow
> Dept of STDs
> Mortimer Market Centre
> off Capper St
> London WC1E 6AU
>
> tel: 0171-380 9878
> fax: 0717-388 4179
> email: [log in to unmask]
>
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