Table 2 |
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|
Revision of professional roles |
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| Author, number of studies |
Quality score |
Focus |
Main results |
|
|
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| Beney 2000 N = 16 |
7 |
Enlargement of the role of the public pharmacist |
Changed use of healthcare services (PSI 6/6 = 100%). Improved patient outcomes (PSI
10/13 = 77%). No change in: quality of life. |
| Bower 2000 N = 38 |
9 |
Mental health workers in primary care: replacement of/consultation to primary care
providers |
*Replacement: lowered consultation rates (PSI 2/8 = 25%), short term reduction on
psychotropic prescribing (PSI 4/11= 36%), long term changes psychotropic prescribing
(PSI 3/6 = 50%), reduced mental health referrals (PSI 3/6 = 50%). *Consultation: more
appropriate short term prescribing (PSI 3/6 = 50%). No change in: consultation rates,
referral patterns. |
| Brown 1995 N = 13 |
4 |
Nurse practitioners in primary care |
Improved laboratory testing (AES 0.20), resolution of pathological conditions (AES
0.28), patient satisfaction (AES 0.30). No change in: quality of care, prescribing,
functional status, consultation rates, use of emergency service. |
| Dijkstra 2004 N = 13 |
7 |
Revision of professional roles for guideline implementation in hospitals |
Improved professional performance (AOR 9.78, S). |
| Horrocks 2002 N = 11 |
6 |
Nurse practitioners in primary care |
Improved patient satisfaction (SMD 0.27), longer consultations (WMD 3.67 minutes),
more investigations (OR 1.22). No change in: health status. |
| Loveman 2003 N = 6 |
8 |
Specialist nurses in diabetes mellitus |
No change in: HbA1c, emergency admissions, quality of life. |
| Stone 2002 N = 20 |
6 |
Organizational change (mainly involvement of non-physician staff and clinics devoted
to prevention) to improve adult immunization and cancer screening |
Improved preventive activities (AOR range 2.74 – 17.6). |
| Smith 2001 N = 4 |
7 |
Outreach nursing for chronic obstructive pulmonary disease |
Increased hospital service utilization (PSI 2/2 = 100%). No change in: mortality, lung function, health related quality of life. |
| Thompson 2003 N = 7 |
8 |
Dietary advice by dietitians compared to self-management materials. |
No change in: patient outcomes. |
|
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Wensing et al. Implementation Science 2006 1:2 doi:10.1186/1748-5908-1-2 |
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