The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Physician–nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients' perception of care
Abstract
Increasing demand to deliver and document therapeutic and preventive care sharpens the need for disease management strategies that accomplish these goals efficiently while preserving quality of care. The purpose of this study was to compare selected outcomes for a new chronic disease management program involving a nurse practitioner - physician team with those of an existing model of care. One hundred fifty-seven patients with hypertension and diabetes mellitus were randomly assigned to their primary care physician and a nurse practitioner or their primary care physician alone. Costs for personnel directly involved in patient management, calculated from hourly rates and encounter time with patients, and pre- and post-study glycosylated hemoglobin (HbA(1c)), high-density lipoprotein cholesterol (HDL-c), satisfaction with care and health-related quality of life (HRQoL) were assessed. Although 1-year costs for personnel were higher in the team-treated group, participants experienced significant improvements in mean HbA(1c) ( - 0.7%, p = 0.02) and HDL-c ( + 2.6 mg dL( - 1), p = 0.02). Additionally, satisfaction with care improved significantly for team-treated subjects in several sub-scales whereas the mean change over time in HRQoL did not differ significantly between groups. This study demonstrates the value of a complementary team approach to chronic disease management in improving patient-derived and clinical outcomes at modest incremental costs.
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Cited by
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(2011) · PubMed · Cited by 645
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(2010) · OECD Health Working Papers · doi:10.1787/5kmbrcfms5g7-en · Cited by 638
Team-Based Care and Improved Blood Pressure Control
Proia, K. K., Thota, A. B., Njie, G. J., Finnie, R. K. C., Hopkins, D. P., Mukhtar, Q., Pronk, N. P., Zeigler, D., Kottke, T. E., Rask, K. J., et al. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.03.004 · Cited by 270
Martin-Misener, R., Harbman, P., Donald, F., Reid, K., Kilpatrick, K., Carter, N., Bryant-Lukosius, D., Kaasalainen, S., Marshall, D. A., Charbonneau-Smith, R., et al. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-007167 · Cited by 252
Identification of barriers to insulin therapy and approaches to overcoming them
Russell‐Jones, D., Pouwer, F., & Khunti, K. (2018) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.13132 · Cited by 238
Metadata
- Authors
- LITAKER, D., MION, L. C., PLANAVSKY, L., KIPPES, C., MEHTA, N., & FROLKIS, J.
- Venue
- Journal of Interprofessional Care
- Publisher
- Informa UK Limited
- Published
- 2003-01
- Volume
- 17
- Issue
- 3
- Pages
- 223-237
- ISSN
- 1356-1820 (ISSN-L)
- 1469-9567
- OpenAlex
- W1992369461
- Cited by
- 279
- References
- 52
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Physician–nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients' perception of care. https://app.cochat.ai/papers/10.1080/1356182031000122852
- The paper
- LITAKER, D., MION, L. C., PLANAVSKY, L., KIPPES, C., MEHTA, N., & FROLKIS, J. (2003). Physician–nurse practitioner teams in chronic disease management: the impact on costs, clinical effectiveness, and patients' perception of care. Journal of Interprofessional Care. https://doi.org/10.1080/1356182031000122852
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
