This research matters because it compares two common ways of delivering primary care. It looks at whether having nurses lead care is better for patients and the health system. The study involved 14,523 participants receiving care in primary community health settings. Researchers pooled data from multiple economic evaluations and randomized controlled trials to see the overall picture. They used a random-effects model to combine the results from these different studies. This approach helps create a clearer view than looking at a single small trial alone.
The main findings show clear benefits for patients. People cared for by primary care nurses had significantly less depression, anxiety, and fatigue. Their daily functioning also improved. Patients reported higher satisfaction with their care. Physical health markers like total cholesterol improved as well. These results suggest that nurse-led care supports better mental and physical well-being for a large group of people.
The study also looked at how resources were used. Patients saw fewer outpatient visits and had shorter hospital stays. They needed fewer consultations with generalist medical practitioners. The length of hospital stays was reduced. These changes mean the health system uses fewer resources to treat the same number of patients. This efficiency helps free up funds for other important health needs.
Financially, the analysis showed substantial cost-effectiveness. From the payer perspective, there was a net monetary benefit of about US$911 per patient. From a societal perspective, the benefit was about US$1,485. These numbers indicate that investing in primary care nurses saves money while improving health. No adverse events or serious safety concerns were reported in the pooled data.
It is important to remember this is a meta-analysis, which combines many studies. While the results are promising, they represent pooled data rather than a single new experiment. The study did not report a specific follow-up duration. People should not expect every clinic to see these exact results immediately. However, the evidence supports the idea that strategic investment in nurses can advance health equity. This approach helps make high-quality care more accessible to more people. Health systems can use this information to plan for sustainable and affordable care delivery.