Nurse practitioner and physician adherence to standing orders criteria for consultation or referral.

作者: L O Watkins , E H Wagner

DOI: 10.2105/AJPH.72.1.22

关键词:

摘要: The degree to which nurse-practitioners (NPs) and physicians (MDs) follow the mutually agreed-upon rules for their practice effects of any deviations are unknown. This study assessed whether NPs adhered consultation/referral (C/R) criteria in NP standing orders hypertension, MDs task-delegation intent expressed orders, relationship between adherence blood-pressure (BP) control. A sample 161 patients from a five four rural primary care clinic was studied over 16 months. Patient characteristics associated with provider non-adherence were identified by discriminant analysis. failed obtain consultation or referral 22 66 (33 per cent) conditions requiring C/R. retained 17 43 (40 without C/R conditions. single NP, presence few non-hypertension problems, need dietary alteration (p less than .05). MD non-ad...

参考文章(9)
Fozard G, Major helminthic diseases of North America: a review. Journal of Family Practice. ,vol. 6, pp. 1195- ,(1978)
SHELDON GREENFIELD, Peer Review by Criteria Mapping: Criteria for Diabetes Mellitus Annals of Internal Medicine. ,vol. 83, pp. 761- 765 ,(1975) , 10.7326/0003-4819-83-6-761
Harold W. Schnaper, USE OF PARAMEDICAL PERSONNEL IN ROUTINE ANTIHYPERTENSIVE TREATMENT Annals of the New York Academy of Sciences. ,vol. 304, pp. 381- 385 ,(1978) , 10.1111/J.1749-6632.1978.TB25616.X
David E. Reed, Klaus J. Roghmann, Acceptability of an expanded nurse role to nurses and physicians. Medical Care. ,vol. 9, pp. 372- 377 ,(1971) , 10.1097/00005650-197107000-00008
Anthony L. Komaroff, W. L. Black, Margaret Flatley, Robert H. Knopp, Barney Reiffen, Herbert Sherman, Protocols for physician assistants. Management of diabetes and hypertension. The New England Journal of Medicine. ,vol. 290, pp. 307- 312 ,(1974) , 10.1056/NEJM197402072900605
B C Flynn, The effectiveness of nurse clinicians' service delivery. American Journal of Public Health. ,vol. 64, pp. 604- 611 ,(1974) , 10.2105/AJPH.64.6.604
Charles E. Lewis, Barbara A. Resnik, Nurse clinics and progressive ambulatory patient care. The New England Journal of Medicine. ,vol. 277, pp. 1236- 1241 ,(1967) , 10.1056/NEJM196712072772305
A Bruce Cyr, Sarah W. Whiteside, Robert S. Lawrence, Gordon H. DeFriese, Samuel M. Putnam, C Glenn Pickard, Physician receptivity to nurse practitioners: a study of the correlates of the delegation of clinical responsibility. Medical Care. ,vol. 15, pp. 298- 310 ,(1977) , 10.1097/00005650-197704000-00003