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A Controlled Trial of the Impact of the Family Practice Nurse on Volume, Quality, and Cost of Rural Health Services

Datos Bibliográficos

ID9102885
AutoresLarry W Chambers (0000-0003-2983-1505, Memorial University of Newfoundland), Patricia Bruce-Lockhart, Patricia Louise Bruce-Lockhart (Memorial University of Newfoundland), Douglas P Black, Douglas Black (Memorial University of Newfoundland), Elizabeth L Sampson (0000-0001-8929-7362, Memorial University of Newfoundland), Elizabeth Sampson, Margaret Bruke (Memorial University of Newfoundland)
Año1977
Volumen15
Número12
Páginas971-981
Fecha de publicación1977-12-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197712000-00001
PMID592915
OpenAlexW2034165725
IdiomaEN
Citas recibidas7
Referencias citadas1

Rural Newfoundland communities with and without expanded role nurses were compared on a before and after basis. The rural communities are located in a geographically isolated area served by a 40-bed hospital staffed by salaried physicians. Primary care visits within the community increased by 186 per cent after establishment of the family practice nurse community clinic and attendance at the hospital decreased by 35 per cent. Acute care days in hospital decreased 5 per cent in the experimental group and increased by 39 per cent in the control group. A major portion of the community based visits provided to the experimental group were classed as preventive. The total annual health service cost per 1,000 persons in the experimental group increased slightly more than in the control group (26 versus 21 per cent). Adequate management of certain indicator conditions and drugs was maintained by the family practice nurse when compared to the adequacy rating for the physician during the same time period

Attendance · Community health · Family health · Family medicine · Public health · Rural area · Rural community · Rural health · Demography · Emergency Medicine · Global Health Workforce Issues · Medicine · Nursing · Nursing Roles and Practices · Primary Care and Health Outcomes

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Obras citantes distintas7
Citas por año0,15
Intervalo de citas1979 - 2026 (48)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 4
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