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

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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  David S Salkever, Elizabeth A Skinner et al.•Medical Care•1982

  Incluir item

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  Rory Sascha Thompson, Robert S Thompson et al.•Medical Care•1982

  Incluir item

• The Public??s View of Physicians?? Assistants and Nurse Practitioners

  Doris M Storms, John G Fox•Medical Care•1979

  Incluir item

• Nurse practitioner integration in primary health care

  Open Access•Annie Rioux‐duboi, Amelie Perron•SSM - Qualitative Research in…•2026

  Incluir item

• Comparisons of Two Types of Nonphysician Providers Using Episode Based Data

  Open Access•Earl V Dunn, Chris A Higgins•The Journal of Rural Health•1987

  Incluir item

• Nursing Within Primary Care Settings in Atlantic Canada

  Open Access•Deanne R Curnew, Julia Lukewich•SAGE Open•2018

  Incluir item

• Health problems encountered by three levels of providers in a remote setting

  E V Dunn, Ellen Dunn et al.•American Journal of Public Health•1986

  Incluir item

• The Use of Nurse Practitioners in a General Practice

  Joel H Merenstein, Harvery Wolfe et al.•Medical Care•1974

  Incluir item