Cited by 428Nursing Roles and PracticesPrimary Care and Health OutcomesPatient-Provider Communication in Healthcare

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Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care

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Kinnersley, P.·2000·BMJ

DOI 10.1136/bmj.320.7241.1043PMC PMC27347

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Abstract

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.

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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)
DOI: 10.1136/bmj.320.7241.1043
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 › Medicine › Family Practice › 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

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Randomised controlled trial of nurse practitioner versus general practitioner care for patients requesting "same day" consultations in primary care

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