Evaluation of Initial Implementation of an Organized Adult Health Program Employing Family Nurse Practitioners
Bibliographic Data
| ID | 9099561 |
|---|---|
| Authors | Rory Sascha Thompson (0000-0003-1593-0916, corresponding author), Robert S Thompson (0000-0001-9287-2954), Patricia Basden (Cadre Research), Linda J Howell (National Committee for Quality Assurance) |
| Year | 1982 |
| Volume | 20 |
| Issue | 11 |
| Pages | 1109-1127 |
| Publication date | 1982-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198211000-00006 |
| PMID | 7144273 |
| OpenAlex | W1964213008 |
| Language | EN |
| References cited | 5 |
An organized program for periodic health evaluation of adults was instituted at one Group Health Cooperative Clinic (A) using a fixed exam schedule and two family nurse practitioners (FNPs), working in a team with six family practitioners, to perform as many of the examinations as possible. We evaluated the effects of the FNP program at Clinic A in terms of six specific objectives, comparing it with the preexisting conventional pattern in another clinic (B). The evaluation showed 1) diminished waiting times at Clinic A; 2) no diminution in quality of examinations performed by FNPs; 3) lesser unit costs in Clinic A; 4) no indication of higher overall postexam outpatient utilization or costs for those examined by FNPs; 5) greater patient satisfaction at Clinic A than Clinic B, and for those examined by FNPs, compared with those examined by physicians (MDs); 6) only 17 per cent of FNP time was spent on health evaluations and met one half the overall demand at Clinic A; 7) FNPs made day-to-day practice qualitatively more complex for some MDs; and 8) different staffing ratios are probably necessary when FNPs are teamed with family physicians rather than internists
Family health · Family medicine · Health care · Nurse practitioners · Political science · Geriatric Care and Nursing Homes · Interprofessional Education and Collaboration · Medicine · Nursing · Nursing Roles and Practices · Psychology
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| Citation velocity | historical |
|---|---|
| Highly cited | No |