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The Collaboration of Nurse Practitioners and Physicians in Long-term Care Using a Case-management Model in a Managed-care Environment
Dissertation   Open access

The Collaboration of Nurse Practitioners and Physicians in Long-term Care Using a Case-management Model in a Managed-care Environment

Angela Mastracchio Kelly-Shelby
University of West Florida Libraries
Doctor of Education (EDD), University of West Florida
2005

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Abstract

The purpose of this study was to determine the effectiveness of the collaboration of nurse practitioners and physicians in long-term care using a case-management model in a managed-care environment. The survey instrument was distributed to 500 long-termcare stakeholders with 364 participants completing the researcher-designed questionnaire for a return rate of 73%. From this general population of patients, family members, health care providers, nurse practitioners, physicians, and long-term-care administrators, quantitative and qualitative assessments of results demonstrated that nurse practitioners do make a positive difference in the elder clinical care outcomes, thereby rejecting the null hypothesis (i.e., There will be neither significant positive response, nor significant differences of respondents between, within, and among the populations responding to this study’s questionnaire). Application of this collaborative model in community-based settings is the next logical step in improving elder care.
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