Patient Preference and Perception of Care Provided by Advance Nurse Practitioners and Physicians in Outpatient Adult Congenital Clinics.

Congenit Heart Dis. 2015 May 23. doi: 10.1111/chd.12273. [Epub ahead of print]

Patient Preference and Perception of Care Provided by Advance Nurse Practitioners and Physicians in Outpatient Adult Congenital Clinics.

Maul TM1Zaidi A2Kowalski V3Hickey J2Schnug R2Hindes M3Cook S3.

CommentThis study was a collaborative effort between two high volume U.S. ACHD centers that utilize nurse practitioners (NPs) both in shared office visits and in independent clinics.  The study sought to describe the experience (satisfaction) of patients being seen by physicians and NPs.  A total of 371 subjects were included.  Physician-managed practices had higher perceived satisfaction as measured by “excellent” responses compared to NPs.  However,  the overwhelming majority of subjects were very satisfied with the delivery of care provided by the NP (82% NP versus 90% MD) and had responded that they “strongly agreed” with the statement that they had confidence/trust in their provider (NP 85% versus 94%).  One area identified that could use improvement is the patients' understanding of the NP role and how it differs from a nurse or physician.  The authors of this article encouraged development of written and multi-media material to improve patients' understanding of the roles of all ACHD team members.