Shuo Ma¹, Lulu Sun¹, Qiaohuo Liao¹, Shiyuan Zhang¹, Guling Yao¹, Xueqing Hu¹
1- Shenzhen Third People's Hospital, China
Abstract Body
This prospective observational study evaluated the economic impact and clinical feasibility of Advanced Practice Nurses (APNs) in pediatric respiratory tract infection (RTI) outpatient care. From September 2024 to June 2025, 70 children with RTIs were assigned to three groups: physician-led care (n=23), APN-physician collaborative care (n=23), and APN-independent care (n=24). APNs provided standardized assessment, non-pharmacological interventions (e.g., nasal irrigation, pediatric tuina), health education, and follow-up without prescribing Presenting Authority . The APN-independent group demonstrated significantly lower total cost per visit (¥351.7 ± 60.4 vs. ¥452.3 ± 86.7 , P