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Paper published in Health Policy

Costs and effects of new professional roles:

Costs and effects of new professional roles: Evidence from a literature review

Ab s t r a c t

One way in which governments are seeking to improve the efficiency of the health caresector is by redesigning health services to contain labour costs. The aim of this study was toinvestigate the impact of new professional roles on a wide range of health service outcomesand costs.A systematic literature review was performed by searching in different databases forevaluation papers of new professional roles (published 1985–2013). The PRISMA checklistwas used to conduct and report the systematic literature review and the EPHPP-QualityAssessment Tool to assess the quality of the studies.Forty-one studies of specialist nurses (SNs) and advanced nurse practitioners (ANPs) wereselected for data extraction and analysis. The 25 SN studies evaluated most often qualityof life (10 studies), clinical outcomes (8), and costs (8). Significant advantages were seenmost frequently regarding health care utilization (in 3 of 3 studies), patient information(5 of 6), and patient satisfaction (4 of 6). The 16 ANP studies evaluated most often patientsatisfaction (8), clinical outcomes (5), and costs (5). Significant advantages were seen mostfrequently regarding clinical outcomes (5 of 5), patient information (3 of 4), and patientsatisfaction (5 of 8).Promoting new professional roles may help improve health care delivery and possiblycontain costs. Exploring the optimal skill-mix deserves further attention from health careprofessionals, researchers and policy makers.

http://dx.doi.org/10.1016/j.healthpol.2015.04.001

 

Author: A. Tsiachristas et al


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