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[Nurses to be preferred over physicians in elderly care?]

¹LUMC, afd. Public Health en Eerstelijnsgeneeskunde, Leiden.

Nederlands Tijdschrift Voor Geneeskunde

|February 10, 2018

Summary

Multidisciplinary care for the elderly, including nurses, shows modest benefits over physician-only care. However, evidence does not support physician substitution, highlighting the need for careful interpretation of findings in geriatric healthcare.

Area of Science:

Geriatric Medicine
Healthcare Management
Nursing Studies

Background:

The optimal model for elderly care is debated, with a focus on the roles of physicians and nurses.
Multidisciplinary care approaches are increasingly recognized in managing complex health needs of older adults.

Purpose of the Study:

To systematically review and compare the effectiveness of elderly care provided by physicians and nurses versus physicians alone.
To evaluate the evidence supporting physician substitution in geriatric healthcare.

Main Methods:

Systematic literature review of studies comparing multidisciplinary care programs (including nursing staff) with monodisciplinary physician care.
Analysis of patient outcomes and process of care outcomes.

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Main Results:

A modest advantage was observed for care models that included both physicians and nurses compared to physician-only care.
The reviewed studies primarily compared multidisciplinary programs with physician-led care, not direct physician substitution.

Conclusions:

Multidisciplinary care programs for the aging population demonstrate comparable or modestly superior outcomes to physician-only care.
The evidence does not conclusively support the substitution of physicians with nurses in elderly care; findings may be influenced by cost-effectiveness considerations or emphasis on nursing roles.