A randomised controlled crossover trial of nurse practitioner versus doctor-led outpatient care in a bronchiectasis clinic
Caine N, Sharples L D, Hollingworth W, French J, Keogan M, Exley A, Hodgkins D, Bilton D
Record ID 32002000894
English
Authors' objectives:
In the setting of a specialist outpatient clinic for bronchiectasis patients, the study objectives were:
- to assess the feasibility and safety of nurse practitioner-led outpatient clinics and their acceptability to patients and their doctors - to compare the cost-effectiveness of nurse practitioner-led care with a doctor-led system of care.
Authors' recommendations:
Nurse practitioner-led care for stable patients within a chronic chest diseaseclinic is safe and as effective as doctor-led care.
There was significant additional patient satisfaction with some aspects of nurse practitioner-led care and better patient compliance with antibiotic therapy.
There was significant additional resource use related to admissions and antibiotic prescriptions during nurse practitioner-led care. However, this mayhave been a learning curve effect, as the difference was substantially greater in the first year.
Authors' methods:
Randomised controlled trial
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/981
Year Published:
2002
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Bronchiectasis
- Costs and Cost Analysis
- Nurse Practitioners
- Outpatient Clinics, Hospital
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.