Display options
Cite
Costa SE, Coyte PC, Laporte A, et al. The use of registered nurses to perform flexible sigmoidoscopy procedures in ontario: a cost minimization analysis. Healthc Policy. 2012;7(3):e119-30
Costa, S. E., Coyte, P. C., Laporte, A., Quigley, L., & Reynolds, S. (2012). The use of registered nurses to perform flexible sigmoidoscopy procedures in ontario: a cost minimization analysis. Healthcare policy = Politiques de sante, 7(3), e119-30.
Costa, Sarah E, et al. "The use of registered nurses to perform flexible sigmoidoscopy procedures in ontario: a cost minimization analysis." Healthcare policy = Politiques de sante vol. 7,3 (2012): e119-30.
Costa SE, Coyte PC, Laporte A, Quigley L, Reynolds S. The use of registered nurses to perform flexible sigmoidoscopy procedures in ontario: a cost minimization analysis. Healthc Policy. 2012 Feb;7(3):e119-30. PMID: 23372585; PMCID: PMC3298026.
Copy Download .nbib Format: NLM
Share it on

Healthc Policy. 2012 Feb;7(3):e119-30.

The use of registered nurses to perform flexible sigmoidoscopy procedures in ontario: a cost minimization analysis.

Healthcare policy = Politiques de sante

Sarah E Costa, Peter C Coyte, Audrey Laporte, Laura Quigley, Shannon Reynolds

Affiliations

  1. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON.

PMID: 23372585 PMCID: PMC3298026

Abstract

RATIONALE: Rates of colorectal cancer (CRC) are on the rise in Canada. Flexible sigmoidoscopy (FS) is an initial screening test for CRC primarily used in adults aged 50 years and older at average risk for the disease. Physicians and registered nurses have been shown to have the same effectiveness in performing a FS procedure. This paper presents an analysis of the use of registered nurses (RN) compared to physicians in Ontario to assess costs to the healthcare system.

OBJECTIVES: To evaluate whether FS performed by RNs is a less costly alternative to increase access to CRC screening capacity in Ontario.

METHODOLOGY: A cost minimization analysis was conducted from a health system perspective.

DISCUSSION: RN-performed FS is a viable alternative for increasing CRC screening capacity in Ontario. Remuneration schedules for on-call physicians must be taken into consideration if policies are developed for the implementation of RN screening procedures.

RESULTS: The findings suggest that the use of RNs may be cost saving compared to physician-performed FS procedures, depending on physician remuneration.

References

  1. J Am Coll Radiol. 2008 Sep;5(9):951-7 - PubMed
  2. Gastroenterol Nurs. 1999 Nov-Dec;22(6):254-61 - PubMed
  3. Can J Gastroenterol. 2008 Feb;22(2):115-9 - PubMed
  4. Can J Gastroenterol. 2007 May;21(5):280-2 - PubMed
  5. Cancer Epidemiol Biomarkers Prev. 2003 Jul;12(7):656-9 - PubMed
  6. Ann R Coll Surg Engl. 2000 Sep;82(5):331-2 - PubMed
  7. Can J Gastroenterol. 2007 May;21(5):301-8 - PubMed
  8. Am Fam Physician. 1999 Mar 15;59(6):1537-46 - PubMed
  9. JAMA. 2010 Jul 28;304(4):461-2 - PubMed
  10. J R Coll Surg Edinb. 2000 Dec;45(6):366-8 - PubMed
  11. Gastroenterol Nurs. 1995 Nov-Dec;18(6):206-9 - PubMed
  12. World J Gastroenterol. 2006 Aug 28;12(32):5201-4 - PubMed
  13. Cancer Detect Prev. 2003;27(4):259-65 - PubMed
  14. Palliat Med. 2010 Jul;24(5):523-32 - PubMed
  15. Am J Gastroenterol. 2004 May;99(5):830-6 - PubMed
  16. J Clin Gastroenterol. 1999 Mar;28(2):110-6 - PubMed
  17. CMAJ. 2003 Aug 5;169(3):206-7 - PubMed
  18. Can J Gastroenterol. 2007 Jul;21(7):431-4 - PubMed
  19. Gastrointest Endosc. 1999 Feb;49(2):262-4 - PubMed
  20. Endoscopy. 2006 Jun;38(6):624-6 - PubMed
  21. Health Care Manag Sci. 2001 Dec;4(4):257-67 - PubMed
  22. Lancet. 2010 May 8;375(9726):1624-33 - PubMed
  23. Gastroenterology. 1999 Aug;117(2):312-8 - PubMed
  24. Gastrointest Endosc. 1999 Feb;49(2):158-62 - PubMed
  25. Gastrointest Endosc. 2007 Apr;65(4):640-5 - PubMed
  26. Bull World Health Organ. 1990;68(4):505-13 - PubMed
  27. Can J Cardiol. 1996 Oct;12(10):1000-6 - PubMed
  28. CA Cancer J Clin. 2008 May-Jun;58(3):130-60 - PubMed
  29. J Am Acad Nurse Pract. 2001 Oct;13(10):455-9 - PubMed

Publication Types