Ignite Creation Date:
2024-05-05 @ 11:40 PM
Last Modification Date:
2024-10-26 @ 10:37 AM
Study NCT ID:
NCT01388374
Status:
COMPLETED
Last Update Posted:
2015-04-22
First Post:
2011-07-04
Brief Title:
The Cost-Effectiveness of Nurse Practitioners Working at the Primary Out of Hours Emergency Service
Sponsor:
Radboud University Medical Center
Organization:
Radboud University Medical Center
Study Overview
Official Title:
A Study on the Cost-Effectiveness of Nurse Practitioners Working at the Primary Out of Hours Emergency Service and the Feasibility of Implementing These Nurses
Status:
COMPLETED
Status Verified Date:
2015-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to explore whether the implementation of Nurse Practitioners can lead to a more accessible and efficient patient care at the primary out of hours service
The primary objectives of the proposed study are
1 What are the effects of the implementation of NPs on the primary out of hours service in comparison with the current out of hours service Effects in terms of accessibility objective and subjective workload of general practitioners quality of care and patient satisfaction
2 How efficient is the implementation of NPs in the primary out of hours services
3 What is the feasibility of the implementation of NPs in the out of hours services And under which conditions
4 What are the barriers and facilitating factors considering the implementation of NPs
The primary objectives of the proposed study are
1 What are the effects of the implementation of NPs on the primary out of hours service in comparison with the current out of hours service Effects in terms of accessibility objective and subjective workload of general practitioners quality of care and patient satisfaction
2 How efficient is the implementation of NPs in the primary out of hours services
3 What is the feasibility of the implementation of NPs in the out of hours services And under which conditions
4 What are the barriers and facilitating factors considering the implementation of NPs
Detailed Description:
The emergency care and primary out of hours care in the Netherlands is under pressure There is a rising demand from patients for acute care at the primary out of hours service run by General Practitioners as well as for the emergency departments EDs at the hospitals The workload for healthcare professionals in these acute care setting is high Without changes in the organization of primary out of hours care and emergency care the quality accessibility and efficiency of the acute care cant be guaranteed in the future
The substitution of care from General Practitioners GPs to Nurse Practitioners NPs is seen as one possible solution to decrease the GPs workload and improve accessibility and efficiency of care without reducing the quality of care
It turned out that about 80 of the acute complaints is U3 and U4 low complex and not urgent and does not necessarily to be seen by a physician
Based on previous research we expect that the NPs are competent to diagnose and treat almost all low complex and not urgent complaints During surgery hours day time the NPs act in about 90 of the consultations independently
Hypothetical substitution of care should contribute to enhancing quality improving accessibility and reducing the workload of doctors It can also benefit the efficiency of the acute primary out of hours care
However specific scientific evidence for this is lacking
In this study we examine whether substitution of care from GPs to NPs in a primary out of hours care setting can contribute to a more accessible and efficient patient care Also the feasibility of implementing NPs in a primary our of hours setting is examined
Comparison Care provided by the Nurse Practitioner will be compared to care provided by a General Practitioner
The substitution of care from General Practitioners GPs to Nurse Practitioners NPs is seen as one possible solution to decrease the GPs workload and improve accessibility and efficiency of care without reducing the quality of care
It turned out that about 80 of the acute complaints is U3 and U4 low complex and not urgent and does not necessarily to be seen by a physician
Based on previous research we expect that the NPs are competent to diagnose and treat almost all low complex and not urgent complaints During surgery hours day time the NPs act in about 90 of the consultations independently
Hypothetical substitution of care should contribute to enhancing quality improving accessibility and reducing the workload of doctors It can also benefit the efficiency of the acute primary out of hours care
However specific scientific evidence for this is lacking
In this study we examine whether substitution of care from GPs to NPs in a primary out of hours care setting can contribute to a more accessible and efficient patient care Also the feasibility of implementing NPs in a primary our of hours setting is examined
Comparison Care provided by the Nurse Practitioner will be compared to care provided by a General Practitioner
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None