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Medical Care Research and Review, Vol. 61, No. 3, 332-351 (2004)
DOI: 10.1177/1077558704266821

Primary Care Outcomes in Patients treated by Nurse Practitioners or Physicians: Two-Year Follow-Up

Elizabeth R. Lenz

Ohio State University

Mary O’Neil Mundinger

Columbia Universitymm44{at}columbia.edu

Robert L. Kane

University of Minnesota

Sarah C. Hopkins

Columbia University

Susan X. Lin

Columbia University

This study reports results of the 2-year follow-up phase of a randomized study comparing outcomes of patients assigned to a nurse practitioner or a physician primary care practice. In the sample of 406 adults, no differences were found between the groups in health status, disease-specific physiologic measures, satisfaction or use of specialist, emergency room or inpatient services. Physician patients averaged more primary care visits than nurse practitioner patients. The results are consistent with the 6-month findings and with a growing body of evidence that the quality of primary care delivered by nurse practitioners is equivalent to that by physicians.

Key Words: comparative study • health services research • nurse practitioner • outcomes assessment • primary health care/standards


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[Abstract] [PDF]