Costs and effects of new professional roles

Evidence from a literature review

the MUNROS team

Research output: Contribution to journalArticle

26 Citations (Scopus)
5 Downloads (Pure)

Abstract

One way in which governments are seeking to improve the efficiency of the health care sector is by redesigning health services to contain labour costs. The aim of this study was to investigate the impact of new professional roles on a wide range of health service outcomes and costs.

A systematic literature review was performed by searching in different databases for evaluation papers of new professional roles (published 1985–2013). The PRISMA checklist was used to conduct and report the systematic literature review and the EPHPP-Quality Assessment Tool to assess the quality of the studies.

Forty-one studies of specialist nurses (SNs) and advanced nurse practitioners (ANPs) were selected for data extraction and analysis. The 25 SN studies evaluated most often quality of life (10 studies), clinical outcomes (8), and costs (8). Significant advantages were seen most frequently regarding health care utilization (in 3 of 3 studies), patient information (5 of 6), and patient satisfaction (4 of 6). The 16 ANP studies evaluated most often patient satisfaction (8), clinical outcomes (5), and costs (5). Significant advantages were seen most frequently regarding clinical outcomes (5 of 5), patient information (3 of 4), and patient satisfaction (5 of 8).

Promoting new professional roles may help improve health care delivery and possibly contain costs. Exploring the optimal skill-mix deserves further attention from health care professionals, researchers and policy makers.
Original languageEnglish
Pages (from-to)1176-1187
Number of pages12
JournalHealth Policy
Volume119
Issue number9
Early online date13 Apr 2015
DOIs
Publication statusPublished - Sep 2015

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Professional Role
Patient Satisfaction
Costs and Cost Analysis
Nurse Practitioners
Health Services
Patient Acceptance of Health Care
Delivery of Health Care
Health Care Sector
Health Policy
Administrative Personnel
Checklist
Health Care Costs
Quality of Life
Research Personnel
Outcome Assessment (Health Care)
Databases
Nurse Specialists

Keywords

  • new professional roles
  • skill-mix
  • health service redesign
  • costs
  • effects
  • impact

Cite this

Costs and effects of new professional roles : Evidence from a literature review. / the MUNROS team.

In: Health Policy, Vol. 119, No. 9, 09.2015, p. 1176-1187.

Research output: Contribution to journalArticle

the MUNROS team. / Costs and effects of new professional roles : Evidence from a literature review. In: Health Policy. 2015 ; Vol. 119, No. 9. pp. 1176-1187.
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abstract = "One way in which governments are seeking to improve the efficiency of the health care sector is by redesigning health services to contain labour costs. The aim of this study was to investigate the impact of new professional roles on a wide range of health service outcomes and costs.A systematic literature review was performed by searching in different databases for evaluation papers of new professional roles (published 1985–2013). The PRISMA checklist was used to conduct and report the systematic literature review and the EPHPP-Quality Assessment Tool to assess the quality of the studies.Forty-one studies of specialist nurses (SNs) and advanced nurse practitioners (ANPs) were selected for data extraction and analysis. The 25 SN studies evaluated most often quality of life (10 studies), clinical outcomes (8), and costs (8). Significant advantages were seen most frequently regarding health care utilization (in 3 of 3 studies), patient information (5 of 6), and patient satisfaction (4 of 6). The 16 ANP studies evaluated most often patient satisfaction (8), clinical outcomes (5), and costs (5). Significant advantages were seen most frequently regarding clinical outcomes (5 of 5), patient information (3 of 4), and patient satisfaction (5 of 8).Promoting new professional roles may help improve health care delivery and possibly contain costs. Exploring the optimal skill-mix deserves further attention from health care professionals, researchers and policy makers.",
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