Effects of physician-nurse substitution on clinical parameters: a systematic review and meta-analysis.

ABSTRACT:

Background

Physicians' shortage in many countries and demands of high-quality and affordable care make physician-nurse substitution an appealing workforce strategy. The objective of this study is to conduct a systematic review and meta-analysis of randomised controlled trials (RCTs) assessing the impact of physician-nurse substitution in primary care on clinical parameters.

Methods

We systematically searched OVID Medline and Embase, The Cochrane Library and CINAHL, up to August 2012; selected peer-reviewed RCTs comparing physician-led care with nurse-led care on changes in clinical parameters. Study selection and data extraction were performed in duplicate by independent reviewers. We assessed the individual study risk of bias; calculated the study-specific and pooled relati

SUBMITTER: Martinez-Gonzalez NA 

PROVIDER: S-EPMC3933531 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature