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
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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“Measurable clinical outcomes are systematically found to be equivalent11,18,19,23,27-32 to those produced by medical models, though patient satisfaction tends to be higher for nurse-provided services.11,19,21,26,27,29,30,33,34”
From Evaluating the cost of NP-led vs. GP-led primary care in British Columbia (2024) · cites this paper as [28]
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A framework for the introduction and evaluation of advanced practice nursing roles
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Nurses as substitutes for doctors in primary care
Laurant, M., van der Biezen, M., Wijers, N., Watananirun, K., Kontopantelis, E., & van Vught, A. J. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001271.pub3 · Cited by 614
“Dierick-van Daele 2009 (Continued) Compared 2 groups providing care to patients with common complaints as first point of contact The NP saw patients with respiratory and throat problems, ear and nose problems, musculoskeletal problems and injuries, skin injuries, urinary problems, gynaecological…”
BackgroundMethodInfluentialFreund, T., Everett, C. M., Griffiths, P., Hudon, C., Naccarella, L., & Laurant, M. G. H. (2014) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.11.014 · Cited by 385
Quality of primary care by advanced practice nurses: a systematic review
Swan, M., Ferguson, S., Chang, A., Larson, E., & Smaldone, A. M. (2015) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzv054 · Cited by 339
“Four studies were unclear regarding the methods used for random sequence generation [28, 30–32], two showed low risk [29, 33] and one demonstrated high risk of inadequate random sequence generation [27].”
BackgroundMethodInfluentialSubstitution of physicians by nurses in primary care: a systematic review and meta-analysis
Martínez-González, N. A., Djalali, S., Tandjung, R., Huber-Geismann, F., Markun, S., Wensing, M., & Rosemann, T. (2014) · BMC Health Services Research · doi:10.1186/1472-6963-14-214 · Cited by 310
“The interventions were carried-out in general practices [17,18,26,29,30,33,39,44], nurse clinics [23,36,40,42] and in hospital-based, health care centres, specialised practices, community or university clinics [15,16,22,25,27,28,32, 34,35,37,46].”
BackgroundMethodInfluentialThe Role Of Nurse Practitioners In Reinventing Primary Care
Naylor, M. D., & Kurtzman, E. T. (2010) · Health Affairs · doi:10.1377/hlthaff.2010.0440 · Cited by 304
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)
- 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
- 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
- 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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