Physician substitution by mid‐level providers in primary healthcare for older people and long‐term care facilities: protocol for a systematic literature review

Abstract

This review will contribute to the knowledge on effects of physician substitution in healthcare for older people and factors that influence the outcomes. This knowledge will guide professionals and policy administrators in their decisions to optimize healthcare for older people.

Effects of substituting nurse practitioners, physician assistants or nurses for physicians concerning healthcare for the ageing population: a systematic literature review

“…For background and an extensive method section, we refer readers to the study protocol (Lovink et al . ) and the PROSPERO database of the Centre for Reviews and Dissemination, CRD42015024586. This review is not a registered Cochrane review as we wished to provide a broad insight into the current state of evidence on this topic by including not only randomized controlled trials (RCTs) but also other comparative studies as well.…”

“…This study is a systematic literature review reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement (Moher et al 2009) as described in the Cochrane Handbook (Higgins & Green 2011). For background and an extensive method section, we refer readers to the study protocol (Lovink et al 2015) and the PROSPERO database of the Centre for Reviews and Dissemination, CRD42015024586. This review is not a registered Cochrane review as we wished to provide a broad insight into the current state of evidence on this topic by including not only randomized controlled trials (RCTs) but also other comparative studies as well.…”

“…), the current review focused on the impact and implementation of NPs, PAs or nurses working as substitutes because this may be an answer to the major challenges in these settings (Lovink et al . ).…”

“…as substitutes because this may be an answer to the major challenges in these settings (Lovink et al 2015).…”

Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: a realist evaluation case study

“…A systematic review showed that substituting nursing home physicians with NPs, PAs or RNs appears to achieve at least as good resident and process of care outcomes as care provided by physicians 14. In a focus group study with professionals in Dutch nursing homes, the contributions of NPs, PAs and RNs to quality healthcare, provision of resident-centred care and strengthening of the care team was considered an added value 15.…”