A collaborative care protocol for senior health management and follow up
1 Introduction Collaborative care management When analysing the possible substitution of doctors by nurses in primary care (Laurant et al., 2005), findings suggest that appropriately trained nurses can produce as high-quality care as primary care doctors and achieve as good health outcomes for patients.However, this conclusion should be viewed with caution given that only one study was powered to assess equivalence of care, many studies had methodological limitations, and patient follow-up was generally 12 months or less.While doctor-nurse substitution has the potential to reduce doctors workload and direct healthcare costs, achieving such reductions depends on the particular context of care.Doctors workload may remain unchanged either because nurses are deployed to meet previously unmet patient need or because nurses generate demand for care where previously there was none.Savings in cost depend on the magnitude of the salary differential between doctors and nurses, and may be offset by the lower productivity of nurses compared to doctors.
Roldan Jim Marco di Marco Josep Benavent
国际会议
北京
英文
361-391
2017-09-13（万方平台首次上网日期，不代表论文的发表时间）