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Cited by 170Nursing Roles and PracticesPrimary Care and Health OutcomesInterprofessional Education and Collaboration

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Nurse practitioners substituting for general practitioners: randomized controlled trial

Dierick‐van Daele, Angelique T.M., Metsemakers, Job F.M., Derckx, Emmy W.C.C., Spreeuwenberg, Cor, Vrijhoef, Hubertus J.M.·2009·Journal of Advanced Nursing
DOI 10.1111/j.1365-2648.2008.04888.x
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Abstract

Title. Nurse practitioners substituting for general practitioners: randomized controlled trial. Aim. This paper is a report of a study conducted to evaluate process and outcomes of care provided to patients with common complaints by general practitioners or specially trained nurse practitioners as first point of contact. Background. Studies in the United States of America and Great Britain show that substituting nurse practitioners for general practitioners results in higher patient satisfaction and higher quality of care. As the American and British healthcare system and settings differ from that in the Netherlands, a Dutch trial was conducted. Methods. A total of 1501 patients in 15 general practices were randomized to consultation by a general practitioner or a nurse practitioner. Data were collected over a 6‐month period in 2006 by means of questionnaires, extracting medical records from practice computer systems and recording the length of consultations. Findings. In both groups, the patients highly appreciated the quality of care. No statistically significant differences were found in health status, medical resource consumption and compliance of practical guidelines in primary care in the Netherlands. Patients in the NP intervention group were more often invited to re‐attend, had more follow‐up consultations and their consultations took statistically significantly longer. Conclusion. Nurse practitioners and general practitioners provide comparable care. Our findings support an increased involvement of specially trained nurse practitioners in the Dutch primary care and contribute to knowledge of the effectiveness of care provision by nurse practitioners from a national and international perspective.

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Crossref · 10.1111/j.1365-2648.2008.04888.x

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Metadata

Authors
Dierick‐van Daele, A. T. M., Metsemakers, J. F. M., Derckx, E. W. C. C., Spreeuwenberg, C., & Vrijhoef, H. J. M.
Affiliations
  • Maastricht University (NL)
  • Maastricht University Medical Centre (NL)
ORCID
Vrijhoef, Hubertus J.M.
Venue
Journal of Advanced Nursing
Publisher
Wiley
Published
2009-01-15
Volume
65
Issue
2
Pages
391-401
ISSN
  • 0309-2402 (ISSN-L)
  • 1365-2648
DOI
10.1111/j.1365-2648.2008.04888.x
OpenAlex
W2129361092
Cited by
170
References
27
Citations by year
2026: 5 · 2025: 5 · 2024: 9 · 2023: 2 · 2022: 3 · 2021: 14 · 2020: 6 · 2019: 14 · 2018: 10 · 2017: 9 · 2016: 13 · 2015: 21 · 2014: 17 · 2013: 13 · 2012: 7
FWCI
17.50
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Advanced Nursing (publishedVersion)
  • Research portal (Tilburg University) (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
  • Health Sciences › Health Professions › General Health Professions › Interprofessional Education and Collaboration
Keywords
nurse practitioners, general practitioners, primary care, first point of contact, common complaints, quality of care, patient satisfaction, consultation time, follow-up visits, guideline adherence, Dutch primary care
MeSH terms
Family Practice, Humans, Netherlands, Nurse Practitioners, Quality of Health Care, Surveys and Questionnaires, Reproducibility of Results, Patient Satisfaction, Outcome Assessment, Health Care, Personnel Delegation

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