Intended for healthcare professionals


Evidence based substitution of doctors by nurses in primary care?

BMJ 2000; 320 doi: (Published 15 April 2000) Cite this as: BMJ 2000;320:1078
  1. Miranda Laurant, researcher (,
  2. Michelle Sergison, research associate,
  3. Shirley Halliwell, research technician,
  4. Bonnie Sibbald, professor of health services research
  1. Centre for Quality of Care Research, Universities of Nijmegen and Maastricht, PO Box 9101, 6500 HB Nijmegen, Netherlands
  2. Research and Development Department, Huddersfield NHS Trust, Huddersfield HD3 3EA
  3. National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL

    EDITOR—Pressures to increase the quality and reduce the cost of primary healthcare delivery have led to the redefinition of the roles of health professionals and the creation of new roles such as nurse practitioners, advanced practice nurses, and clinical nurse specialists. Nurses are currently concerned with many aspects of patient care (asthma, diabetes, prevention of cardiovascular diseases), and they perform a wide range of tasks, ranging from health assessment and education …

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