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Cited by 90Nursing Roles and PracticesNursing education and managementInterprofessional Education and Collaboration

Costs and effects of new professional roles: Evidence from a literature review

Tsiachristas, A., Wallenburg, I., Bond, C.M., Elliot, R.F., Busse, R., van Exel, J., Rutten-van Mölken, M.P., de Bont, A.·2015·Health Policy
DOI 10.1016/j.healthpol.2015.04.001
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Abstract

One way in which governments are seeking to improve the efficiency of the health care sector is by redesigning health services to contain labour costs. The aim of this study was to investigate the impact of new professional roles on a wide range of health service outcomes and costs. A systematic literature review was performed by searching in different databases for evaluation papers of new professional roles (published 1985-2013). The PRISMA checklist was used to conduct and report the systematic literature review and the EPHPP-Quality Assessment Tool to assess the quality of the studies. Forty-one studies of specialist nurses (SNs) and advanced nurse practitioners (ANPs) were selected for data extraction and analysis. The 25 SN studies evaluated most often quality of life (10 studies), clinical outcomes (8), and costs (8). Significant advantages were seen most frequently regarding health care utilization (in 3 of 3 studies), patient information (5 of 6), and patient satisfaction (4 of 6). The 16 ANP studies evaluated most often patient satisfaction (8), clinical outcomes (5), and costs (5). Significant advantages were seen most frequently regarding clinical outcomes (5 of 5), patient information (3 of 4), and patient satisfaction (5 of 8). Promoting new professional roles may help improve health care delivery and possibly contain costs. Exploring the optimal skill-mix deserves further attention from health care professionals, researchers and policy makers.

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  • The economic impact of nurse-led primary care remains less documented than its clinical quality.

    “Nevertheless, the economic impact of nurse-led primary care remains less documented than its clinical quality.9,20,23,26,42-44”

    From Evaluating the cost of NP-led vs. GP-led primary care in British Columbia (2024) · cites this paper as [44]

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Authors
Tsiachristas, A., Wallenburg, I., Bond, C. M., Elliot, R. F., Busse, R., van Exel, J., Rutten-van Mölken, M. P., & de Bont, A.
Affiliations
  • University of Oxford (GB)
  • Erasmus University Rotterdam (NL)
  • University of Aberdeen (GB)
  • Technische Universität Berlin (DE)
Corresponding author
Tsiachristas, A.
ORCID
Venue
Health Policy
Publisher
Elsevier BV
Published
2015-09
Volume
119
Issue
9
Pages
1176-1187
ISSN
0168-8510 (ISSN-L)
DOI
10.1016/j.healthpol.2015.04.001
OpenAlex
W1973582505
Cited by
90
References
66
Citations by year
2026: 3 · 2025: 8 · 2024: 8 · 2023: 12 · 2022: 8 · 2021: 8 · 2020: 8 · 2019: 12 · 2018: 5 · 2017: 8 · 2016: 7 · 2015: 3
FWCI
1.39
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Health Policy (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
Funders
  • European Commission (HEALTH-F3-2012-305467EC)
  • European Community
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
Keywords
new professional roles, specialist nurses, advanced practice nurses, health care costs, health care utilization, patient satisfaction, clinical outcomes, quality of life, patient information, skill mix, health care delivery, health care efficiency
MeSH terms
Nurse Specialists, Cost-Benefit Analysis, Humans, Nurse Practitioners, Quality of Health Care, Health Care Costs, Patient Satisfaction, Professional Role

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