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Practice nurse involvement in general practice clinical care: policy and funding issues need resolution.
- Source :
-
Australian Health Review . 2014, Vol. 38 Issue 3, p301-305. 5p. 1 Chart. - Publication Year :
- 2014
-
Abstract
- In Australia, primary care-based funding initiatives have been implemented to encourage general practices to employ practice nurses. The aim of this paper is to discuss limitations of the current funding and policy arrangements in enhancing the clinical role of practice nurses in the management of chronic conditions. This paper draws on the results of a real-world economic evaluation, the Primary Care Services Improvement Project (PCSIP). The PCSIP linked routinely collected clinical and resource use data to undertake a risk-adjusted cost-effectiveness analysis of increased practice nurse involvement in clinical-based activities for the management of diabetes and obesity. The findings of the PCSIP suggested that the active involvement of practice nurses in collaborative clinical-based activities is cost-effective, as well as addressing general practice workforce issues. Although primary healthcare organisations (e.g. Medicare Locals) can play a key role in supporting enhanced practice nurse roles, improvements to practice nurse funding models could further encourage more efficient use of an important resource. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT of diabetes
*MEDICAL care costs
*OBESITY treatment
*CHRONIC diseases
*CONFIDENCE intervals
*MEDICAL care cost control
*EVALUATION of medical care
*MEDICAL care research
*MEDICAL personnel
*HEALTH policy
*NURSE practitioners
*NURSES
*NURSING models
*SCIENTIFIC observation
*PATIENT education
*PERSONNEL management
*PRIMARY health care
*PROFESSIONAL employee training
*QUESTIONNAIRES
*DECISION making in clinical medicine
*COST analysis
*OCCUPATIONAL roles
*EVALUATION of human services programs
*ODDS ratio
*ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 01565788
- Volume :
- 38
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Australian Health Review
- Publication Type :
- Academic Journal
- Accession number :
- 96384768
- Full Text :
- https://doi.org/10.1071/AH13187