Wednesday, 14 September 2016

Nurses better than doctors - again!

Roger Watson, Editor-in-Chief

In the pages of JAN we have published several studies comparing nurse and physician led care in a range of settings and nursing frequently comes out 'on top'. A study from the USA by Lutfiyya et al. (2016) titled: ' Does primary care diabetes management provided to Medicare patients differ between primary care physicians and nurse practitioners?' and published in JAN aimed to address the question: 'Does primary care diabetes management for Medicare patients differ in scope and outcomes by provider type (physician or nurse practitioner)?'

Medicare records from over 53 million patients were sampled to provide, sequentially, three criteria based 5% samples to provide over 200,000 records for analysis.  The data were analysed for patient outcomes and cost and the results were very favourable towards nursing care.  The authors stated that patients cared for by nurses: '...had significantly improved outcomes compared with all primary care physician provider groups regarding healthcare utilization, patient health outcomes and healthcare costs.'  They conclude: 'Our results, suggest nurse practitioner engagement in chronic patient management is associated with lower cost and quality care' and: 'This research might also provide direction and influence conversations taking place in other developed countries such as the UK, Canada and the Netherlands.'

You can listen to this as a podcast

Reference

LUTFIYYA M.N., TOMAI L., FROGNER B., CERRA F., ZISMER D. & S. ( 2016) Does primary care diabetes management provided to Medicare patients differ between primary care physicians and nurse practitioners? Journal Advanced Nursing doi: 1001111/jan.13108

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