Titre :
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Primary care outcomes in patients treated by nurse practitioners or physicians : A Randomized trial. (2000)
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Auteurs :
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M.O. MUNDINGER ;
P.D. CLEARY ;
W.T. FRIEDEWALD ;
R.L. KANE ;
E.R. LENZ ;
M.L. SHELANSKI ;
A.L. SIU ;
A.M. TOTTEN ;
W.Y. TSAI ;
School of Nursing. Columbia University. New York. NY. USA
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Type de document :
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Article
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Dans :
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JAMA - Journal of the american medical association (vol. 283, n° 1, 2000)
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Pagination :
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59-68
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Langues:
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Anglais
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Mots-clés :
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Soins santé primaire
;
Médecin
;
Infirmier
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST 089R0xyA. Diffusion soumise à autorisation]. Context Studies have suggested that the quality of primary care delivered by nurse practitioners is equal to that of physicians. However, these studies did not measure nurse practitioner practices that had the same degree of independence as the comparison physician practices, nor did previous studies provide direct comparison of outcomes for patients with nurse practitioner or physician providers. Objective To compare outcomes for patients randomly assigned to nurse practitioners or physicians for primary care follow-up and ongoing care after an emergency department or urgent care visit. Design Randomized trial conducted between August 1995 and October 1997, with patient interviews at 6 months after initial appointment and health services utilization data recorded at 6 months and 1 year after initial appointment. Setting Four community-based primary care clinics (17 physicians) and 1 primary care clinic (7 nurse practitioners) at an urban academic medical center. Patients Of 3397 adults originally screened, 1316 patients (mean age, 45.9 years ; 76.8% female ; 90.3% Hispanic) who had no regular source of care and kept their initial primary care appointment were enrolled and randomized with either a nurse practitioner (n=806) or physician (n=510). (...)
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