Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care
Open accessAbstract
OBJECTIVE: To ascertain any differences between care from nurse practitioners and that from general practitioners for patients seeking "same day" consultations in primary care. DESIGN: Randomised controlled trial with patients allocated by one of two randomisation schemes (by day or within day). SETTING: 10 general practices in south Wales and south west England. SUBJECTS: 1368 patients requesting same day consultations. MAIN OUTCOME MEASURES: Patient satisfaction, resolution of symptoms and concerns, care provided (prescriptions, investigations, referrals, recall, and length of consultation), information provided to patients, and patients' intentions for seeking care in the future. RESULTS: Generally patients consulting nurse practitioners were significantly more satisfied with their care, although for adults this difference was not observed in all practices. For children, the mean difference between general and nurse practitioner in percentage satisfaction score was -4.8 (95% confidence interval -6.8 to -2.8), and for adults the differences ranged from -8.8 (-13.6 to -3.9) to 3.8 (-3.3 to 10.8) across the practices. Resolution of symptoms and concerns did not differ between the two groups (odds ratio 1.2 (95% confidence interval 0.8 to 1.8) for symptoms and 1.03 (0.8 to 1.4) for concerns). The number of prescriptions issued, investigations ordered, referrals to secondary care, and reattendances were similar between the two groups. However, patients managed by nurse practitioners reported receiving significantly more information about their illnesses and, in all but one practice, their consultations were significantly longer. CONCLUSION: This study supports the wider acceptance of the role of nurse practitioners in providing care to patients requesting same day consultations.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Increased involvement of non-physicians such as Registered Nurses and Nurse Practitioners has long been recognized as an effective way to enhance access to primary care services.
“Increased involvement of non-physicians such as Registered Nurses (RNs) and Nurse Practitioners (NPs) has long been recognized as an effective way to enhance access to primary care services.6-12”
From Evaluating the cost of NP-led vs. GP-led primary care in British Columbia (2024) · cites this paper as [12]
The Introduction says nurse practitioners had begun seeing patients requesting same-day appointments, and What this study adds supports extending their role in primary care. The paper does not establish that greater involvement improves access, address registered nurses as a group, or substantiate that this has long been recognized. (LLM, conf=0.85)
Experimental — accuracy not yet measuredMeasurable clinical outcomes are systematically found to be equivalent to those produced by medical models, though patient satisfaction tends to be higher for nurse-provided services.
“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 [30]
The Results section (page unavailable) reports no notable or significant differences in symptom and concern resolution after same-day consultations. The Discussion (page unavailable) says patients seeing nurse practitioners were generally more satisfied, but the difference was smaller than the study’s threshold for clinical importance. This single trial supports that comparison in its primary-care setting, not a systematic finding of equivalent clinical outcomes across nurse-provided services. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Patient-Centered Medicine: Transforming the Clinical Method
Stewart, M., Brown, J. B., Weston, W. W., McWhinney, I. R., McWilliam, C. L., & Freeman, T. R. (1995) · Cited by 1,299 · see citing works
Standard occupational classification
Surveys (1990) · HMSO eBooks · Cited by 963 · see citing works
Qureshi, B. (1984) · Elsevier eBooks · doi:10.1016/c2013-0-06463-8 · Cited by 786 · see citing works
Baker, R. (1990) · PubMed · Cited by 360 · see citing works
Communicating with Medical Patients
(1990) · Annals of Internal Medicine · doi:10.7326/0003-4819-113-3-259_4 · Cited by 355 · see citing works
The patient-centredness of consultations and outcome in primary care.
Kinnersley, P., Stott, N. C. H., Peters, T. J., & Harvey, I. M. (1999) · Europe PMC (PubMed Central) · Cited by 242 · see citing works
Self-citationLong to short consultation ratio: a proxy measure of quality of care for general practice.
Howie, J. G., Porter, A. M., Heaney, D., & Hopton, J. (1991) · PubMed Central · Cited by 208 · see citing works
Parent Satisfaction With Children??s Medical Care
Lewis, C., Scott, D. E., Pantell, R. H., & Wolf, M. H. (1986) · Medical Care · doi:10.1097/00005650-198603000-00003 · Cited by 89 · see citing works
Establishing a minor illness nurse in a busy general practice
Marsh, G. N., & Dawes, M. G. (1995) · BMJ · doi:10.1136/bmj.310.6982.778 · Cited by 83 · see citing works
Comparison of the work of a nurse practitioner with that of a general practitioner.
Cj, S., & Tettersell, M. (1988) · PubMed · Cited by 54 · see citing works
Myers, P., Lenci, B., & Sheldon, M. G. (1997) · Family Practice · doi:10.1093/fampra/14.6.492 · Cited by 37 · see citing works
GP frequent consulters: their prevalence, natural history, and contribution to rising workload.
Gill, D. M., Dawes, M. G., Sharpe, M., & Mayou, R. (1998) · Europe PMC (PubMed Central) · Cited by 35 · see citing works
Nurse-led management of minor illness in a GP surgery.
Rees, M., & Kinnersley, P. (1996) · PubMed · Cited by 24 · see citing works
Self-citationThe patient-centredness of consultations and the relationship to outcomes in primary care.
Kinnersley, P. (1996) · OpenGrey (Institut de l'Information Scientifique et Technique) · Cited by 9 · see citing works
Self-citation
Flagged first, then by citations
1 of the 17 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Rees M, Kinnersley P. Nurse management of minor illness in general practice. Nursing Times 1996;92:32-3.
- Beckman H, Kaplan SH, Frankel R. Outcome based research on doctor- patient communication: A review. In: Stewart M, Roter D, eds. Communi- cating with medical patients. Newbury Park: Sage Publications, 1989.
Cited by
Sorted by citations
Horrocks, S., Anderson, E., & Salisbury, C. (2002) · BMJ · doi:10.1136/bmj.324.7341.819 · Cited by 1,235 · see citing works
Substitution of doctors by nurses in primary care
Laurant, M. G. H., Reeves, D., Hermens, R., Braspenning, J., Grol, R. P. T. M., & Sibbald, B. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001271.pub2 · Cited by 961 · see citing works
Delamaire, M.-L., & Lafortune, G. (2010) · OECD health working papers · doi:10.1787/5kmbrcfms5g7-en · Cited by 638 · see citing works
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 · see citing works
Health workforce skill mix and task shifting in low income countries: a review of recent evidence
Fulton, B. D., Scheffler, R. M., Sparkes, S. P., Auh, E. Y., Vujicic, M., & Soucat, A. L. B. (2011) · Human Resources for Health · doi:10.1186/1478-4491-9-1 · Cited by 542 · see citing works
Puffer, S., Torgerson, D., & Watson, J. (2003) · BMJ · doi:10.1136/bmj.327.7418.785 · Cited by 351 · see citing works
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 338 · see citing works
Substitution 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 · see citing works
Skill mix in the health care workforce: reviewing the evidence.
Buchan, J., & Poz, M. R. D. (2002) · Europe PMC (PubMed Central) · Cited by 317 · see citing works
What do patients and the public want from primary care?
Coulter, A. (2005) · BMJ · doi:10.1136/bmj.331.7526.1199 · Cited by 264 · see citing works
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 · see citing works
Daly, W. M., & Carnwell, R. (2003) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2003.00690.x · Cited by 256 · see citing works
Htay, M., & Whitehead, D. (2021) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2021.100034 · Cited by 252 · see citing works
Clark, C. E., Smith, L. F. P., Taylor, R. S., & Campbell, J. (2010) · BMJ · doi:10.1136/bmj.c3995 · Cited by 241 · see citing works
Campbell, J. L., Fletcher, E., Britten, N., Green, C., Holt, T. A., Lattimer, V., Richards, D. A., Richards, S. H., Salisbury, C., Calitri, R., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61058-8 · Cited by 236 · see citing works
Weeks, G., George, J., MacLure, K., & Stewart, D. C. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011227.pub2 · Cited by 232 · see citing works
Validation of a questionnaire measuring patient satisfaction with general practitioner services
Grogan, S., Conner, M. T., Norman, P., Willits, D., & Porter, I. (2000) · BMJ Quality & Safety · doi:10.1136/qhc.9.4.210 · Cited by 196 · see citing works
Primary care in the driver's seat? : organizational reform in European primary care
Saltman, R. B., Gómez, A. R., & Boerma, W. G. W. (2006) · Data Archiving and Networked Services (DANS) · Cited by 175 · see citing works
Nurse practitioners substituting for general practitioners: randomized controlled trial
Dierick‐van Daele, A. T. M., Metsemakers, J. F. M., Derckx, E. W. C. C., Spreeuwenberg, C., & Vrijhoef, H. J. M. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2008.04888.x · Cited by 170 · see citing works
Martínez-González, N. A., Tandjung, R., Djalali, S., & Rosemann, T. J. (2015) · Human Resources for Health · doi:10.1186/s12960-015-0049-8 · Cited by 164 · see citing works
Kuo, Y., Loresto, F., Rounds, L. R., & Goodwin, J. S. (2013) · Health Affairs · doi:10.1377/hlthaff.2013.0072 · Cited by 161 · see citing works
If You Build It, Will They Come? Designing Truly Patient-Centered Health Care
Bechtel, C., & Ness, D. L. (2010) · Health Affairs · doi:10.1377/hlthaff.2010.0305 · Cited by 161 · see citing works
Pérez-Francisco, D. H., Clíments, G. D., del Rosario-Melián, J. M., Gómez-Salgado, J. C., Romero‐Martín, M., & Gómez, M. B. S. (2020) · Healthcare · doi:10.3390/healthcare8010012 · Cited by 159 · see citing works
Bonsall, K., & Cheater, F. M. (2008) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2007.07.013 · Cited by 145 · see citing works
Advanced nursing practice: A global perspective
Duffield, C. M., Gardner, G. E., Chang, A. M., & Catling, C. (2009) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2009.02.001 · Cited by 143 · see citing works
The effects of nurse prescribing: A systematic review
Gielen, S. C., Dekker, J., Francke, A. L., Mistiaen, P., & Kroezen, M. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.12.003 · Cited by 138 · see citing works
McKinley, R., Stevenson, K., Adams, S., & Manku-Scott, T. (2002) · Family Practice · doi:10.1093/fampra/19.4.333 · Cited by 164 · see citing works
Survey Shows Consumers Open To A Greater Role For Physician Assistants And Nurse Practitioners
Dill, M. J., Pankow, S., Erikson, C. E., & Shipman, S. A. (2013) · Health Affairs · doi:10.1377/hlthaff.2012.1150 · Cited by 134 · see citing works
Buchan, J. (2002) · BMJ · doi:10.1136/bmj.324.7340.751 · Cited by 134 · see citing works
Systematic review of recent innovations in service provision to improve access to primary care.
Chapman, J., Zechel, A., Carter, Y. H., & Abbott, S. (2004) · Europe PMC (PubMed Central) · Cited by 127 · see citing works
Patient Satisfaction With Primary Care
Roblin, D. W., Becker, E. R., Adams, E. K., Howard, D. H., & Roberts, M. H. (2004) · Medical Care · doi:10.1097/01.mlr.0000128005.27364.72 · Cited by 125 · see citing works
The core role of the nurse practitioner: practice, professionalism and clinical leadership
Carryer, J., Gardner, G. E., Dunn, S., & Gardner, A. (2007) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2007.01823.x · Cited by 122 · see citing works
Ohman‐Strickland, P., Orzano, A. J., Hudson, S. V., Solberg, L. I., DiCicco‐Bloom, B., O’Malley, D. M., Tallia, A. F., Balasubramanian, B. A., & Crabtree, B. F. (2008) · The Annals of Family Medicine · doi:10.1370/afm.758 · Cited by 121 · see citing works
Use of Midlevel Practitioners to Achieve Labor Cost Savings in the Primary Care Practice of an MCO
Roblin, D. W., Howard, D. H., Becker, E. R., Kathleen Adams, E., & Roberts, M. H. (2004) · Health Services Research · doi:10.1111/j.1475-6773.2004.00247.x · Cited by 114 · see citing works
Barriers to developing the nurse practitioner role in primary care--the GP perspective
Wilson, A. (2002) · Family Practice · doi:10.1093/fampra/19.6.641 · Cited by 115 · see citing works
Advanced practice nursing: A concept analysis
Dowling, M., Beauchesne, M. A., Farrelly, F., & Murphy, K. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12050 · Cited by 114 · see citing works
Eczema workshops reduce severity of childhood atopic eczema
Moore, E. J., Williams, A. F., Manias, E., Varigos, G., & Donath, S. M. (2009) · Australasian Journal of Dermatology · doi:10.1111/j.1440-0960.2009.00515.x · Cited by 110 · see citing works
Examining the potential of nurse practitioners from a critical social justice perspective
Browne, A. J., & Tarlier, D. S. (2008) · Nursing Inquiry · doi:10.1111/j.1440-1800.2008.00411.x · Cited by 106 · see citing works
Wilson, B. J., Torrance, N., Mollison, J., Wordsworth, S., Gray, J. A. M., Haites, N. E., Grant, A., Campbell, M., Miedyzbrodzka, Z., Clarke, A., et al. (2005) · Health Technology Assessment · doi:10.3310/hta9030 · Cited by 97 · see citing works
Quality of care provided by mid-level health workers: systematic review and meta-analysis
Lassi, Z. S., Cometto, G., Huicho, L., & Bhutta, Z. A. (2013) · Bulletin of the World Health Organization · doi:10.2471/blt.13.118786 · Cited by 86 · see citing works
Richards, D. A., Meakins, J., Tawfik, J., Godfrey, L., Dutton, E., Richardson, G., & Russell, D. (2002) · BMJ · doi:10.1136/bmj.325.7374.1214 · Cited by 85 · see citing works
Evolution of practice nursing in Australia
Halcomb, E., Patterson, E., & Davidson, P. M. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03908_1.x · Cited by 84 · see citing works
Way, D., Jones, L., Baskerville, N. B., & Busing, N. (2001) · Europe PMC (PubMed Central) · Cited by 83 · see citing works
Reagan, P. B., & Salsberry, P. J. (2013) · Nursing Outlook · doi:10.1016/j.outlook.2013.04.007 · Cited by 78 · see citing works
Nurse practitioner practice and deployment: electronic mail Delphi study
Marsden, J., Dolan, B., & Holt, L. (2003) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02758.x · Cited by 78 · see citing works
Doctors and nurses: doing it differently
Salvage, J. (2000) · BMJ · doi:10.1136/bmj.320.7241.1019 · Cited by 77 · see citing works
Patients’ assessments of consulting a nurse practitioner: the time factor
Williams, A., & Jones, M. L. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03714.x · Cited by 75 · see citing works
Direct access to physiotherapy in primary care: now?—and into the future?
Holdsworth, L. K., & Webster, V. S. (2004) · Physiotherapy · doi:10.1016/j.physio.2004.01.005 · Cited by 73 · see citing works
Drennan, V. M., Halter, M., Brearley, S. A., Carneiro, W., Gabe, J., Gage, H., Grant, R., Joly, L., & de Lusignan, S. (2014) · Health Services and Delivery Research · doi:10.3310/hsdr02160 · Cited by 71 · see citing works
Spilsbury, K., & Meyer, J. E. (2005) · Journal of research in nursing · doi:10.1177/136140960501000104 · Cited by 70 · see citing works
Campbell, J. L., Fletcher, E., Britten, N., Green, C., Holt, T., Lattimer, V., Richards, D. A., Richards, S. H., Salisbury, C., Taylor, R. S., et al. (2015) · Health Technology Assessment · doi:10.3310/hta19130 · Cited by 71 · see citing works
Gardner, G. E., Carryer, J., Gardner, A., & Dunn, S. V. (2005) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2005.09.002 · Cited by 68 · see citing works
Walk-in centres in primary care: a review of the international literature.
Salisbury, C., & Munro, J. F. (2003) · Europe PMC (PubMed Central) · Cited by 68 · see citing works
The accuracy of trained nurses in pre‐operative health assessment: results of the OPEN study
van Klei, W. A., Hennis, P. J., Moen, J., Kalkman, C. J., & Moons, K. G. M. (2004) · Anaesthesia · doi:10.1111/j.1365-2044.2004.03858.x · Cited by 68 · see citing works
A trial of nurse practitioner scope of practice
Gardner, A., & Gardner, G. E. (2005) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2004.03273.x · Cited by 68 · see citing works
Decision‐making in primary care: outcomes from a study using patient scenarios
Offredy, M. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02410.x · Cited by 67 · see citing works
LINDSAY, B. D. (2003) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02864.x · Cited by 66 · see citing works
Fox, S., & Chesla, C. (2008) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2007.00295.x · Cited by 65 · see citing works
Clark, C. E., Smith, L. F. P., Taylor, R. S., & Campbell, J. (2010) · Diabetic Medicine · doi:10.1111/j.1464-5491.2010.03204.x · Cited by 65 · see citing works
Patient satisfaction with nurse practitioner‐delivered primary healthcare services
Agosta, L. J. (2009) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2009.00449.x · Cited by 65 · see citing works
What is the role of walk-in centres in the NHS?
Salisbury, C. (2002) · BMJ · doi:10.1136/bmj.324.7334.399 · Cited by 65 · see citing works
The effect of GP telephone triage on numbers seeking same-day appointments.
Jiwa, M., Mathers, N. J., & Campbell, M. (2002) · Europe PMC (PubMed Central) · Cited by 63 · see citing works
Potentially Preventable Hospitalizations in Medicare Patients With Diabetes
Kuo, Y., Chen, N.-W., Baillargeon, J., Raji, M. A., & Goodwin, J. S. (2015) · Medical Care · doi:10.1097/mlr.0000000000000406 · Cited by 62 · see citing works
Martínez-González, N. A., Rosemann, T., Djalali, S., Huber-Geismann, F., & Tandjung, R. (2015) · Medical Care Research and Review · doi:10.1177/1077558715586297 · Cited by 60 · see citing works
Rashid, C. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05327.x · Cited by 59 · see citing works
Nurse-led clinics reduce severity of childhood atopic eczema: a review of the literature
Moore, E. J., Williams, A. F., Manias, E., & Varigos, G. (2006) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2006.07534.x · Cited by 58 · see citing works
Seale, C., Anderson, E., & Kinnersley, P. (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.03865.x · Cited by 65 · see citing works
Self-citationDonald, F., Kilpatrick, K., Reid, K., Carter, N., Martin-Misener, R., Bryant-Lukosius, D., Harbman, P., Kaasalainen, S., Marshall, D. A., Charbonneau-Smith, R., et al. (2014) · Nursing Research and Practice · doi:10.1155/2014/896587 · Cited by 59 · see citing works
Stewart, G. L., Astrove, S. L., Reeves, C. J., Crawford, E. R., & Solimeo, S. L. (2017) · Academy of Management Journal · doi:10.5465/amj.2015.1173 · Cited by 58 · see citing works
Comparison of GP and nurse practitioner consultations: an observational study.
Seale, C. F., Anderson, E. L., & Kinnersley, P. (2005) · Europe PMC (PubMed Central) · Cited by 55 · see citing works
Self-citationMcMurray, R. G. (2010) · Human Relations · doi:10.1177/0018726710387949 · Cited by 54 · see citing works
Larkin, G. L., & Hooker, R. S. (2010) · The American Journal of Bioethics · doi:10.1080/15265161.2010.494216 · Cited by 53 · see citing works
The effect of physician-nurse substitution in primary care in chronic diseases: a systematic review
Martínez-González, N. A., Rosemann, T. J., Tandjung, R., & Djalali, S. (2015) · Swiss Medical Weekly · doi:10.4414/smw.2015.14031 · Cited by 52 · see citing works
Mental health nurse practitioner: Expanded or advanced?
Elsom, S., Happell, B., & Manias, E. (2005) · International Journal of Mental Health Nursing · doi:10.1111/j.1440-0979.2005.00379.x · Cited by 52 · see citing works
Evidence Brief: The Quality of Care Provided by Advanced Practice Nurses
McCleery, E., Christensen, V., Peterson, K., Humphrey, L. L., & Helfand, M. (2014) · Europe PMC (PubMed Central) · Cited by 51 · see citing works
Iglesias, B., Ramos, F., Serrano, B., Fàbregas, M., Sánchez, C., García, M. J., Cebrian, H. M., Aragonés, R., Casajuana, J. B., de Haro, N. E., et al. (2013) · Journal of Advanced Nursing · doi:10.1111/jan.12120 · Cited by 51 · see citing works
ISSUES IN NURSE PRACTITIONER DEVELOPMENTS IN AUSTRALIA
Gardner, G. E. (2004) · QUT ePrints (Queensland University of Technology) · Cited by 50 · see citing works
Gerard, K. (2004) · Family Practice · doi:10.1093/fampra/cmh623 · Cited by 50 · see citing works
Bergman, K., Perhed, U., Eriksson, I., Lindblad, U., & Fagerström, L. (2013) · International Journal of Nursing Practice · doi:10.1111/ijn.12072 · Cited by 49 · see citing works
Integration of advanced practice providers into the Israeli healthcare system
Aaron, E., & Andrews, C. S. (2016) · Israel Journal of Health Policy Research · doi:10.1186/s13584-016-0065-8 · Cited by 49 · see citing works
Can Nurse Practitioners And Physicians Beat Parochialism Into Plowshares?
Phillips, R. L., Harper, D. C., Wakefield, M. K., Green, L. A., & Fryer, G. E. (2002) · Health Affairs · doi:10.1377/hlthaff.21.5.133 · Cited by 48 · see citing works
National independent evaluation of the nurse and midwife prescribing initiative
Drennan, J., Naughton, C., Allen, D., Hyde, A., Felle, P., O’Boyle, K. M., & Treacy, P. (2009) · Lenus, The Irish Health Repository (Dr Steevens Hospital Library) · Cited by 48 · see citing works
Questionnaire survey of users of NHS walk-in centres: observational study.
Salisbury, C., Manku-Scott, T., Moore, L., Chalder, M., & Sharp, D. (2002) · Europe PMC (PubMed Central) · Cited by 47 · see citing works
Prescriptive patterns of nurse practitioners and physicians
Running, A., Kipp, C., & Mercer, V. (2006) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2006.00120.x · Cited by 47 · see citing works
Trust of nurse practitioners and physicians among African Americans with hypertension
Benkert, R. A., Peters, R. M., Tate, N. H., & DiNardo, E. (2008) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2008.00317.x · Cited by 46 · see citing works
Wortans, J., Happell, B., & Johnstone, H. (2006) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2006.00916.x · Cited by 46 · see citing works
Liu, N., & D’Aunno, T. A. (2011) · Health Services Research · doi:10.1111/j.1475-6773.2011.01343.x · Cited by 45 · see citing works
Aghakhani, N., Nia, H. S., Ranjbar, H., Rahbar, N., & Beheshti, Z. (2012) · Europe PMC (PubMed Central) · Cited by 44 · see citing works
Speed, C., Heaven, B., Adamson, A., Bond, J. B., Corbett, S. S., Lake, A. A., May, C. R., Vanoli, A., McMeekin, P. J., Moynihan, P. J., et al. (2010) · Health Technology Assessment · doi:10.3310/hta14520 · Cited by 43 · see citing works
Comparing doctor‐ and nurse‐led care in a sexual health clinic: patient satisfaction questionnaire
Miles, K., Penny, N., Power, R. M., & Mercey, D. (2003) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2003.02580.x · Cited by 44 · see citing works
Managing adverse drug reactions: an orphan task
Jordan, S. E. (2002) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2002.02205.x · Cited by 44 · see citing works
Li, J., Westbrook, J. I., Callen, J. L., Georgiou, A., & Braithwaite, J. (2013) · BMC Health Services Research · doi:10.1186/1472-6963-13-356 · Cited by 42 · see citing works
Nurse‐led primary healthcare walk‐in centres: an integrative literature review
Desborough, J., Forrest, L. E., & Parker, R. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2011.05798.x · Cited by 42 · see citing works
Effectiveness of general practice nurse interventions in cardiac risk factor reduction among adults
Halcomb, E., Moujalli, S., Griffiths, R., & Davidson, P. M. (2007) · International Journal of Evidence-Based Healthcare · doi:10.1111/j.1479-6988.2007.00070.x · Cited by 42 · see citing works
An evaluation of a community aged care nurse practitioner service
Allen, J., & Fabri, A. M. (2005) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2005.01199.x · Cited by 41 · see citing works
Difficulties Encountered in Collaborative Care: Logistics Trumps Desire
Legault, F., Humbert, J., Amos, S., Hogg, W. E., Ward, N. M., Dahrouge, S., & Ziebell, L. (2012) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2012.02.110153 · Cited by 41 · see citing works
Perry, J. (2009) · Contemporary Economic Policy · doi:10.1111/j.1465-7287.2009.00162.x · Cited by 40 · see citing works
Cummings, G. G., & McLennan, M. (2005) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200502000-00003 · Cited by 39 · see citing works
Reconceptualizing the core of nurse practitioner education and practice
Burman, M. E., Hart, A. M., Conley, V. M., Brown, J. W., Sherard, P., & Clarke, P. N. (2009) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2008.00365.x · Cited by 38 · see citing works
The nurse practitioner in primary care: alleviating problems of access?
Perry, C., Thurston, M. N., Killey, M., & Miller, J. (2005) · British Journal of Nursing · doi:10.12968/bjon.2005.14.5.17659 · Cited by 38 · see citing works
- Authors
- Kinnersley, P.
- Affiliations
- Cardiff University (GB)
- Corresponding author
- Kinnersley, P.
- ORCID
- Kinnersley, P.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2000-04-15
- Volume
- 320
- Issue
- 7241
- Pages
- 1043-1048
- ISSN
- 0959-8138 (ISSN-L)
- PMC
- PMC27347
- OpenAlex
- W2064193170
- Cited by
- 428
- References
- 17
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 10 · 2023: 4 · 2022: 3 · 2021: 15 · 2020: 10 · 2019: 5 · 2018: 10 · 2017: 10 · 2016: 15 · 2015: 20 · 2014: 21 · 2013: 24 · 2012: 13
- FWCI
- 62.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Office of Research and Development
- Topics
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- nurse practitioners, general practitioners, primary care, patient satisfaction, symptom resolution, consultation time, patient information, children, adults, nurse practitioner role
- MeSH terms
- Acute Disease, Adolescent, Adult, Aged, Child, Child, Preschool, England, Family Practice, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Nurse Practitioners, Patient Acceptance of Health Care, Time Factors, Wales, Patient Satisfaction, Patient Selection
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
