Cost-Effectiveness of Advanced Practice Nurses Compared to Physician-Led Care for Chronic Diseases: A Systematic Review

Despite the evidence on the effectiveness of APN-led care, professional organizations such as the American Medical Association, American Osteopathic Association, American Academy of Pediatrics, and American Academy of Family Physicians continue to debate whether APNs should be able to practice indep...

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Bibliographic Details
Published inNursing economic Vol. 37; no. 6; pp. 293 - 305
Main Authors Abraham, Cilgy M, Norful, Allison A, Stone, Patricia W, Poghosyan, Lusine
Format Journal Article
LanguageEnglish
Published Pitman Jannetti Publications, Inc 01.11.2019
Anthony J. Jannetti, Inc
Subjects
Advanced practice nurses
Alzheimer's disease
Chronic diseases
Chronic illnesses
Citation management software
Costs
Death
Diabetes
Diagnostic tests
Disabilities
Disease
Economic aspects
Health care access
Health care costs
Health care expenditures
Library catalogs
Medical care quality
Medical economics
Nurses
Patient satisfaction
Pediatrics
Physicians
Primary care
Public health
Quality of care
Registered nurses
Subject heading schemes
Systematic review
Type 2 diabetes
Workforce
United Kingdom
Netherlands
United States > US
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ISSN0746-1739

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Summary:Despite the evidence on the effectiveness of APN-led care, professional organizations such as the American Medical Association, American Osteopathic Association, American Academy of Pediatrics, and American Academy of Family Physicians continue to debate whether APNs should be able to practice independently (Fairman, Rowe, Hassmiller, & Shalala, 2011). One concern stemming from this debate is whether APNs are more expensive to the healthcare system compared to physicians (Hughes, Jiang, & Duszak, 2015; Roblin et al., 2017). Since more chronic disease care management of patients is being shifted to APNs, it is crucial to understand the differences in cost of care between APNs and physicians. Recognizing the cost of different care delivery models will provide insights to the most optimal means of delivering chronic disease care that can reduce healthcare spending without compromising highquality patient care. The purpose of this systematic review is to determine the costeffectiveness of chronic disease care management delivered by APNs compared to physicians.
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ObjectType-Evidence Based Healthcare-3
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ISSN:0746-1739