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

Highlights • The impact of new professional roles on a wide range of outcomes and costs was investigated. • We reviewed evaluation papers of new professional roles and assessed their methodological quality. • Most evaluations of specialist nurses reported higher quality of care, higher patient satis...

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Bibliographic Details
Published in:Health policy (Amsterdam) 2015-09, Vol.119 (9), p.1176-1187
Main Authors: Tsiachristas, A, Wallenburg, I, Bond, C.M, Elliot, R.F, Busse, R, van Exel, J, Rutten-van Mölken, M.P, de Bont, A
Format: Article
Language:English
Subjects:
Cost
Cost-Benefit Analysis - organization & administration
Costs
Effects
Health administration
Health Care Costs
Health service redesign
Humans
Impact
Internal Medicine
Medical service
New professional roles
Nurse Practitioners - economics
Nurse Practitioners - organization & administration
Nurse Practitioners - standards
Nurse Specialists - economics
Nurse Specialists - organization & administration
Nurse Specialists - standards
Nurses
Patient Satisfaction
Patients
Professional Role
Quality of Health Care - organization & administration
Quality of life
Skill-mix
Specialists
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Summary:Highlights • The impact of new professional roles on a wide range of outcomes and costs was investigated. • We reviewed evaluation papers of new professional roles and assessed their methodological quality. • Most evaluations of specialist nurses reported higher quality of care, higher patient satisfaction, and reduction in health care utilization. • The evaluation studies of advance nurse practitioners reported improvements in clinical outcomes, patient information, and patient satisfaction. • Promoting new professional roles in the context of chronic diseases may help contain the anticipated growth of health care expenditures.
ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2015.04.001