Non-medical prescribers effective in management of chronic disease

Non-medical prescribers practising in a variety of settings, and with varying but high levels of prescribing autonomy, achieved comparable outcomes in the management of chronic disease and preventive healthcare. Non-medical prescribers delivered comparable outcomes to medical prescribers for systolic blood pressure, glycated haemoglobin, low-density lipoprotein, medication adherence, patient satisfaction and general quality of life. Pharmacists and nurses were able to deliver comparable prescribing outcomes with varying levels of undergraduate, postgraduate and specific on-the-job training. Non-medical prescribers frequently have medical support available to facilitate a collaborative practice model. Non-medical prescribers across a range of different settings in low, medium and high-income countries may be able to assist in meeting the growing burden of chronic disease, or where doctor shortages or scarce health resources exist.