Economic evaluation of nurse practitioners versus GPs in treating common conditions
Economic evaluation of nurse practitioners versus GPs in treating common conditions
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DOI：
10.3399/bjgp10x482077
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发表时间：
2010-01-01
影响因子：
5.9
通讯作者：
Derckx, E. W. C. C.
中科院分区：
文献类型：
--
作者：
Dierick-van Daele, A. T. M.;Steuten, L. M. G.;Derckx, E. W. C. C.
背景由于评估护理替代的研究仅揭示了有限的成本效益证据，一项试验旨在评估护士从业人员作为荷兰全科医生的第一个接触点。目的从实践和社会的角度估计全科医生与护士从业人员咨询的成本。研究设计2006年5月至10月期间，在随机对照试验的同时进行了一项经济评价，参与试验的12名护士从业人员和50名全科医生在15个全科执业(研究实践)中工作。通过研究实践咨询也与外部参照组进行了比较，17名全科医生在没有护士参与的情况下在5个全科实践中工作。方法医疗保健部门的直接成本包括资源使用、后续咨询、咨询时间和工资成本。医疗保健部门以外的成本是生产率损失。结果在研究实践中，护士咨询的直接成本低于全科医生咨询。从社会的角度来看，老年患者的直接成本加上成本也是如此
BackgroundAs studies evaluating substitution of care have revealed only limited evidence on cost-effectiveness, a trial was conducted to evaluate nurse practitioners as a first point of contact in Dutch general practices.AimTo estimate costs of GP versus nurse practitioner consultations from practice and societal perspectives.Design of studyAn economic evaluation was conducted alongside a randomised controlled trial between May and October 2006, wherein 12 nurse practitioners and 50 GPs working in 15 general practices (study practices) participated. Consultations by study practices were also compared with an external reference group, with 17 GPs working in five general practices without the involvement of nurse practitioners.MethodDirect costs within the healthcare sector included resource use, follow-up consultations, length of consultations, and salary costs. Costs outside the healthcare sector were productivity losses. Sensitivity analyses were performed.ResultsDirect costs were lower for nurse practitioner consultations than for GP consultations at study practices. This was also the case for direct costs plus costs from a societal perspective for patients aged