A case study of nurse practitioner care compared with general practitioner care for children with respiratory tract infections

Journal of Advanced Nursing
Saskia F van VugtRoger A M J Damoiseaux

Abstract

To compare quality of care provided by nurse practitioners (NP) with care provided by general practitioners (GP) for children with respiratory tract infections (RTI) in the Netherlands. Nurse practitioners increasingly manage acute conditions in general practice, with opportunities for more protocolled care. Studies on quality of NPs' care for children with RTIs are limited to the US healthcare system and do not take into account baseline differences in illness severity. Retrospective observational cohort study. Data were extracted from electronic healthcare records of children 0-6 years presenting with RTI between January-December 2013. Primary outcomes were antibiotic prescriptions and early return visits. Generalized estimating equations were used to correct for potential confounders. A total of 899 RTI consultations were assessed (168 seen by NP; 731 by GP). Baseline characteristics differed between these groups. Overall antibiotic prescription and early return visit rates were 21% and 24%, respectively. Adjusted odds ratio for antibiotic prescription after NP vs. GP delivered care was 1.40 (95% confidence interval 0.89-2.22) and for early return visits 1.53 (95% confidence interval 1.01-2.31). Important confounder for anti...Continue Reading

References

Sep 24, 2004·Pharmacoepidemiology and Drug Safety·Susan JelinskiJames Hutchinson
Sep 19, 2006·Journal of Clinical Epidemiology·Karel G M MoonsFrank E Harrell
Feb 5, 2009·Journal of Advanced Nursing·Angelique T M Dierick-van DaeleHubertus J M Vrijhoef
Sep 14, 2010·Journal of Internal Medicine·A Mackinnon
Apr 10, 2013·International Journal of Pediatric Otorhinolaryngology·Alma C van de PolRoger A Damoiseaux
Jul 10, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Talley A VodickaUNKNOWN TARGET Programme team
Aug 5, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Melanie SwanArlene Smaldone

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Citations

Oct 24, 2019·Journal of Advanced Nursing·Robin HydeTracy Humphrey

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