IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.72.1.22_5.html
   My bibliography  Save this article

Nurse practitioner and physician adherence to standing orders criteria for consultation or referral

Author

Listed:
  • Watkins, L.O.
  • Wagner, E.H.

Abstract

The degree to which nurse-practitioners (NPs) and physicians (MDs) follow the mutually agreed-upon rules for their practice and the effects of any deviations are unknown. This study assessed whether NPs adhered to consultation/referral (C/R) criteria in NP standing orders for hypertension, whether MDs adhered to the task-delegation intent expressed in standing orders, and the relationship between adherence and blood-pressure (BP) control. A sample of 161 patients from a practice of five MDs and four NPs in a rural primary care clinic was studied over 16 months. Patient characteristics associated with provider non-adherence were identified by discriminant analysis. NPs failed to obtain consultation or referral for 22 of 66 patients (33 per cent) with conditions requiring C/R. MDs retained 17 of the 43 patients (40 per cent) without C/R conditions. NP nonadherence was associated with care by a single NP, presence of few non-hypertension problems, and need for dietary alteration (p

Suggested Citation

  • Watkins, L.O. & Wagner, E.H., 1982. "Nurse practitioner and physician adherence to standing orders criteria for consultation or referral," American Journal of Public Health, American Public Health Association, vol. 72(1), pages 22-29.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.72.1.22_5
    DOI: 10.2105/AJPH.72.1.22
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.72.1.22
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.72.1.22?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.72.1.22_5. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.