Nurses and doctors in primary care: Decisions should be based on maximizing the cost effectiveness of a system of primary care and not the dictates of historical precedent

British Journal of General Practice

Volumn 49, Issue 445, 1999, Pages 647-649

  Kernick, D P ^a  

^a St Thomas Medical Group   (United Kingdom)

Author keywords

Cost effectiveness; General practitioners; Practice nurses; Skill mix

Indexed keywords

ARTICLE; COST EFFECTIVENESS ANALYSIS; GENERAL PRACTITIONER; HEALTH CARE COST; HEALTH CARE POLICY; HUMAN; NATIONAL HEALTH SERVICE; NURSE PRACTITIONER; PRIMARY MEDICAL CARE; PROFESSIONAL PRACTICE; RESOURCE MANAGEMENT; SKILL; TEAMWORK;

EID: 0032802756     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (29)

1. Stillwell B, Greenfield S, Drury M, et al. A nurse practitioner in general practice; working style and pattern of consultation. J R Coll Gen Pract 1987; 37: 154-157.
2. Rashid A, Watts A, Lenehan C. Skill mix in primary care: sharing clinical workload and understanding professional roles. Br J Gen Pract 1996; 46: 639-640.
3. Richardson G, Maynard A. Fewer doctors? More nurses? A review of the knowledge base of doctor/nurse substitution. [Discussion paper 135.] York: University of York, 1995.
4. NHS Management Executive. Primary care: delivering the future. London: HMSO, 1996.
5. World Health Organisation. Health for all. Geneva: WHO, 1984.
6. Freeling P. Communication between doctors and nurses. In: Walter J, McLachlan G (eds). Relationship and prejudice. London: Nuffield Provincial Hospital Trust, 1981.
7. Bowling A. Delegation in general practice - a study of doctors and nurses. London: Tavistock Publications, 1981.
8. Kassiner JP. What role for the nurse practitioner in primary care? N Engl J Med 1994; 20: 304-305.
9. Wilson M, Ball JG, Banks IG, et al. Medical workforce. (Taskforce of General Medical Services Committee.) London: BMJ Publishing, 1996.
10. Brooks D. Teams for tomorrow - towards a new primary care system. J R Coll Gen Pract 1986; 36: 285-286.
11. Royal College of General Practitioners. The nature of general practice. [Report for General Practice 27.] London: RCGP, 1996.
12. Department of Health and Social Security. Neighbourhood nursing - a focus for care. London: DHSS, 1986.
13. English T. Personal medicine - medicine in the 1990s needs a team approach. BMJ 1997; 314: 661-663.
14. Casey N, Smith R. Bringing nurses and doctors closer together. BMJ 1997; 314: 617-618.
15. Cullum N, Dicenso A, Chiliska D. Evidence based nursing: an introduction. Nursing Standard 1997; 11(28): 32-33.
16. Graham B, McGregor K. What does a GP consultation cost? Br J Gen Pract 1997; 47: 170-172.
17. Orchard C. Comparing health outcomes. BMJ 1994; 308: 1493-1496.
18. Wilson-Barnet J, Beech S. Evaluating the clinical nurse specialist. A review. Int J Nurse Studies 1994; 31(6): 561-571.
19. Paykel ES, Griffith JH (eds). Community psychiatric nursing for neurotic patients: the Springfield controlled trial. London: Royal College of Nursing, 1983.
20. Spitzer WO, Sackett DL, Sibley JC, et al. The Burlington randomised trial of the nurse practitioner. N Engl J Med 1974; 290: 251-256.
21. Bull R, Hart G. Clinical nurse specialist: walking the wire. Contemporary Nurse 1995; 995: 425-432.
22. Berwick D. Medical Associations: guilds or leaders? BMJ 1997; 314: 1564-1565.
23. Rorty R. Contingency, irony and solidarity. Cambridge: Cambridge University Press, 1989.
24. Coyle D. Increasing the impact of economic evaluations on healthcare decision making. [Discussion paper 108.] York: Centre for Health Economics, University of York, 1993.
25. Balint M. The doctor, his patient and the illness. London: Pitman, 1957.
26. Hart JT, Dieppe P. Caring effects. Lancet 1996; 347: 1606-1608.
27. Robinson G, Benton S, White P. Attitudes towards practice nurses - survey of a sample of GPs in England and Wales. Br J Gen Pract 1993; 43: 25-29.
28. Freeman G, Hjortdah L. What future continuity of care in general practice? BMJ 1997; 314: 1870-1873.
29. Calman K. The impression of medicine. BMJ 1994; 309: 1140-1143.