assessing the contribution of prescribing in primary care by nurses and professionals allied to medicine a systematic review of literature评估的贡献在初级保健处方护士和专业人士联合医学文献的系统回顾.pdfVIP

Bhanbhro et al. BMC Health Services Research 2011, 11:330 /1472-6963/11/330 RESEARCH ARTICLE Open Access Assessing the contribution of prescribing in primary care by nurses and professionals allied to medicine: a systematic review of literature * Sadiq Bhanbhro, Vari M Drennan , Robert Grant and Ruth Harris Abstract Background: Safe and timely access to effective and appropriate medication through primary care settings is a major concern for all countries addressing both acute and chronic disease burdens. Legislation for nurses and other professionals allied to medicine to prescribe exists in a minority of countries, with more considering introducing legislation. Although there is variation in the range of medicines permitted to be prescribed, questions remain as to the contribution prescribing by nurses and professionals allied to medicine makes to the care of patients in primary care and what is the evidence on which clinicians, commissioners of services and policy makers can consider this innovation. Methods: A integrative review of literature on non-medical prescribing in primary care was undertaken guided by dimensions of health care quality: effectiveness, acceptability, efficiency and access. Results: 19 papers of 17 empirical studies were identified which provided evidence of patient outcome of non medical prescribing in primary care settings. The majority were undertaken in the UK with only one each from the USA, Canada, Botswana and Zimbabwe. Only two studies investigated clinical outcomes of non-medical prescribing. Seven papers reported on qualitative designs and four of these had fewer than ten participants. Most studies reported that non medical prescribing was widely accepted and viewed positively by patients and professionals. Conclusions: Primary hea