Nurses and doctors in primary care: decisions should be based on maximizing the cost effectiveness of a system of primary care and not the dictates of historical precedent
Year: 1999
Type: article
Abstract: SUMMARY The past 10 years have seen an increase in the number of nurses working in general practice, which has been largely unplanned. On a background of limited resources and a commitment to a primary care-led National Health Service (NHS) based on team work, delivering care from a mixed team of general practitioners (GPs) and practice nurses offers an attractive model for policy makers. To date, this development has been characterized by roles reflecting historical precedent and conflicts of power. This paper argues for a break from traditional professional roles and the devolution of power across the primary health care team. Although the problems of economic analyses are recognized, the development of skill-mix should be based on considerations of cost effectiveness and not historical sentiment.
Source: Europe PMC (PubMed Central)
Author: D P Kernick
Language: English
Topic: Nursing Roles and Practices
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W76815989