The Child-Health Nurse (Pediatric Nurse Practitioner) in Private Practice

Charney, Evan; Kitzman, Harriet; Berkow, Esther; Cafarelli, Cenie; Davis, L W; Disney, Frank A.; Friedlander, Carolyn; Green, John; Hare, Nancy; MacWhinney, James B.; Miller, Robert

doi:10.1056/nejm197112092852405

Cited by 64 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…NOV 1999 sicians and 28 to 36 minutes for nurse practitioners in the 1975 study byHoekelman 19 of the adequacy of health care activities in well-child care; 6 to 15 minutes in the study by Kahn and Wirth 20 of changes in pediatrician activity after the addition of a nurse practitioner to the practice, 10 minutes in the 1971 study by Korsch et al21 of how well-child care was conducted; 13 minutes for pediatricians and 21 minutes for nurse practitioners in the 1971 study by Charney and Kitzman22 of nurse practitioners teaming with pediatricians in private practice; 14 minutes for pediatricians and 30 minutes for nurse practioners in the 1969 study by Schiff et al23 of nurse practitioners in pediatric offices; and 13 minutes in the 1967 study by Bergman et al…”

mentioning

confidence: 99%

How Much Time Is Spent on Well-Child Care and Vaccinations?

LeBaron

Rodewald²,

Humiston³

1999

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

How Much Time Is Spent on Well-Child Care and Vaccinations?

LeBaron

Rodewald²,

Humiston³

1999

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

“…In rehabilitation, in geriatrics, and more recently, in chronic illness care, an underlying issue has been the need for complex, comprehensive care. Starting in the 1960s have driven the development of interprofessional care models in primary care, access to care for underserved populations, as well as familyoriented and preventive care needs, including the creation and growth of the nurse practitioner role (Charney E, Kitzman H, 1971). …”

Section: Biljana Gjorgjeskamentioning

confidence: 99%

Interprofessional and Team-Based Continuing Education For Health Professionals

Gjorgjeska¹

2012

EMHPJ

View full text Add to dashboard Cite

The benefits of implementing interprofessional and teambased programs are well recognized. However, for interprofes sional education to be effective and broadly implemented, the health professions, policymakers, insurers, academic institutions, health care providers, and regulatory bodies should embrace and adopt a new, interprofessional education framework. These stakeholders should create a shared value and vision for interprofessional health professions’ educa tion, research, and practice. This vision should be patientoriented and contain a measurable component across the entire educational continuum, from admission into a health professional program through retirement. Such a framework would maximize and value the strengths of individual professions in the integrated delivery of high quality care. Finally, in creating a successful model, a series of questions should be considered: how best can team competence be measured, how should individual behavioral changes be documented when we think of individual rather than teamlevel changes, how do we create and measure performance criteria based on shared understanding and experience in the practice setting? Within academic settings, there are more specific barriers including a lack of administrative support, financial and human resources for interprofessional education, conflicts in schedules and health professions’ curricula, and limitations to the time required to plan and implement faculty development for interprofessional learning. Finally, despite progress, there remain regulatory and professional barriers to achieving full and meaningful implementation of effective models. Recom mendations which are given emphasize that investing in research to evaluate the efficacy of continuing education and its impact on patient outcomes and the healthcare delivery system is inherent in this process.

show abstract

“…Studies have also been done relating costs and quality. These include research on pediatric nurse practitioners by Schiff, Fraser and Walters (1969) and Charney and Kitzman (1971). All these studies have shown that nonphysician providers can deliver care comparable to physicians in the same situation.…”

mentioning

confidence: 99%

Comparisons of Two Types of Nonphysician Providers Using Episode Based Data*

Dunn¹,

Higgins

1987

The Journal of Rural Health

View full text Add to dashboard Cite

Using episode based data, analysis of those patients with diagnoses of upper respiratory infection or laceration seen in a remote setting revealed that the medical care given by nurse practitioners and minimally trained indigenous health aides was comparable in relation to management and outcome. Specifically, the average number of visits per episode, the length of episodes and the percentage of patients who subsequently developed complications were similar for the nurses and the health aides. Although both the nurses and the health aides managed over 90 percent of the patients independently, the health aides were more likely to communicate, refer or transfer the patient to the care of another provider. These findings, if applicable to medical problems in general, imply that nonphysician providers in a remote setting can give quality care and can be trained to manage conditions appropriately, if the needed' back‐up is available.

show abstract

The Child-Health Nurse (Pediatric Nurse Practitioner) in Private Practice

Cited by 64 publications

References 9 publications

How Much Time Is Spent on Well-Child Care and Vaccinations?

How Much Time Is Spent on Well-Child Care and Vaccinations?

Interprofessional and Team-Based Continuing Education For Health Professionals

Comparisons of Two Types of Nonphysician Providers Using Episode Based Data*

Contact Info

Product

Resources

About