The quality and effectiveness of care provided by nurse practitioners

Julie Stanik-Hutt, Robin P. Newhouse, Kathleen M. White, Meg Johantgen, Eric B. Bass, George Zangaro, Renee Wilson, Lily Fountain, Donald M. Steinwachs, Lou Heindel, Jonathan P. Weiner

Research output: Contribution to journalArticlepeer-review


Evidence regarding the impact of nurse practitioners (NPs) compared to physicians (MDs) on health care quality, safety, and effectiveness was systematically reviewed. Data from 37 of 27,993 articles published from 1990-2009 were summarized into 11 aggregated outcomes. Outcomes for NPs compared to MDs (or teams without NPs) are comparable or better for all 11 outcomes reviewed. A high level of evidence indicated better serum lipid levels in patients cared for by NPs in primary care settings. A high level of evidence also indicated that patient outcomes on satisfaction with care, health status, functional status, number of emergency department visits and hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

Original languageEnglish (US)
Pages (from-to)492-500.e13
JournalJournal for Nurse Practitioners
Issue number8
StatePublished - Sep 2013


  • Nurse practitioners
  • Quality
  • Systematic review

ASJC Scopus subject areas

  • Advanced and Specialized Nursing


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