The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting: effects on patient outcomes
International Journal of Nursing StudiesPublished 1 May 2002
Hubertus JM Vrijhoef, J.P.M. Diederiks, Cor Spreeuwenberg, Bruce H. R. Wolffenbuttel, Loek J.G.P van Wilderen
Citations75
SJR quartileQ1
SJR score2.82
SNIP3.21
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The shared care model resulted in an improved glycaemic control, additional consultations and other outcomes being equivalent to diabetes care before introduction, with the general practitioner as main care-provider.
Abstract
A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 diabetes in a primary care setting. The shared care model resulted in an improved glycaemic control, additional consultations and other outcomes being equivalent to diabetes care before introduction, with the general practitioner as main care-provider. Assignment of care for patients with type 2 diabetes to nurse specialists seems to be justified.
Keywords
Medicine
BMJAssociation of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study
8,864 Citations2000Irene Stratton
In patients with type 2 diabetes the risk of diabetic complications was strongly associated with previous hyperglycaemia, with the lowest risk being in those with HbA1c values in the normal range (<6.0%).
Annals of Internal MedicineNurse Case Management To Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization
557 Citations1998Ronald E. Aubert, William H. Herman +6 more
A 12-month randomized, controlled trial compared a nurse case management model of diabetes care with usual diabetes management in a primary care setting and showed a strong association between algorithm-directed nurse interventions and improved glycemic control.
Journal of Chronic DiseasesAssessment of function in routine clinical practice: Description of the coop chart method and preliminary findings
536 Citations1987Eugene C. Nelson, John H. Wasson +6 more
It is concluded that new measures are needed to assess function in a busy office practice and that the COOP Chart system represents one promising strategy.
QRB - Quality Review BulletinThe Role of Outcomes in Quality Assessment and Assurance
506 Citations1992Avedis Donabedian
British Journal of Clinical PharmacologySensitivity and accuracy of the visual analogue scale: a psycho‐ physical classroom experiment.
470 Citations1978Christopher D. Maxwell
It was concluded that this was due to a shift in either perception, cognition or scoring between the two sessions, and it was recommended that authors using the visual analogue scale have valid reason in their own setting for using a transformation and present the distribution, or at least the medians and ranges of their raw scores.
Pharmacy World & ScienceQuality of life 3
252 Citations1993Piet L. C. M. van Riel, Wim G. J. M. Lankveld
In this review a generally accepted definition of quality of life, existing of three components, is presented and the interrelationship betweenquality of life and all the different variables used in assessing disease activity in rheumatoid arthritis is discussed.
Family PracticeShared care: a review of the literature
168 Citations1996JP Hampson, RI Roberts +1 more
It is concluded that a culture change is required, which compels health professionals to make sharing of patient information a much higher priority, and that information technology may provide some of the solutions.
DiabetologiaSustained good glycaemic control in NIDDM patients by implementation of structured care in general practice: 2-year follow-up study
137 Citations1997J. J. J. de Sonnaville, Margriet Bouma +4 more
Implementation of structured care, including education and therapeutic advice, results in sustained good glycaemic control in the majority of NIDDM patients in primary care, with low risk of hypoglycaemia and treatment satisfaction.
Disability and RehabilitationFunctional status in primary care: COOP/WONCA charts
129 Citations1993Chris van Weel
The development in defining and measuring the patient's functional status is reviewed and the COOP/WONCA charts are reviewed, providing a generic, patient-oriented instrument that has been extensively used in chronic diseases.
BMJIntegrated care for asthma: a clinical, social, and economic evaluation
117 Citations1994Neil Drummond, M Abdalla +11 more
Integrated care for moderately severe asthma patients is clinically as effective as conventional outpatient care, cost effective, and an attractive management option for patients, general practioners, and hospital consultants.
Pharmacy World & ScienceQuality of life 2
109 Citations1993Sissi V. Pham, JoLaine R. Draugalis
Economic analyses can help ensure the efficient use of health care dollars in areas such as drug therapy and can assist care providers in determining which treatments are most cost-effective.
BMJControlled trial of respiratory health worker visiting patients with chronic respiratory disability.
99 Citations1987Anne Cockcroft, P Bagnall +7 more
The patients in the group visited by respiratory health workers may have survived longer because they sought help rather than dying at home, and if confirmed this could have implications for the cost of their care.
Diabetes CareA Telephone-Delivered Intervention for Patients With NIDDM: Effect on coronary risk factors
91 Citations1994M. Sue Kirkman, Morris Weinberger +5 more
The TDI improved self-reported adherence to regimens that might reduce coronary risk, but had little effect on objective measures of risk.
Journal of Advanced NursingSubstitution model with central role for nurse specialist is justified in the care for stable type 2 diabetic outpatients
77 Citations2001Hubertus JM Vrijhoef, J.P.M. Diederiks +2 more
The model with nurse specialists taking on roles and tasks beyond those traditionally regarded as their remit as well as new ones, is effective for the care of stable diabetic outpatients.
The LancetEvidence-based interventions and comprehensive treatment
75 Citations1999Chris van Weel, J. André Knottnerus
The issue of the evidence base for complex, composite intervention procedures in general practice is examined and recommendations to bridge the gap between the theory of evidence and general practice are made.
Diabetic MedicineEducation integrated into structured general practice care for Type 2 diabetic patients results in sustained improvement of disease knowledge and self‐care
60 Citations2000I. J. M. Van Den Arend, Ronald P. Stolk +2 more
The objective of this study was to study the effectiveness of structured care with and without integrated education with regard to patients' knowledge, self‐care behaviour and disease perception.
Patient Education and CounselingEffects on quality of care for patients with NIDDM or COPD when the specialised nurse has a central role: a literature review
46 Citations2000Hubertus JM Vrijhoef, J.P.M. Diederiks +1 more
A Medline search for publications about the effects of models of care for patients with NIDDM or COPD in which the specialised nurse has a central role in which main features are identified and related to expected and statistically significant effects are identified.
Nursing Administration QuarterlyStaff Mix Models: Complementary or Substitution Roles for Nurses
42 Citations1997Linda M. Hall
One concern evident in the literature is the lack of evaluation of these staff mix models as they become more prevalent, and the outcomes for patient, hospital system, and nurse remain unclear.
American Journal of Public HealthForecasting the number of diabetic patients in The Netherlands in 2005.
32 Citations1993Dirk Ruwaard, Rudolf T. Hoogenveen +4 more
A dynamic model in which actual incidence, prevalence, and life expectancy data are used and alternative assumptions about future trends in these parameters can be incorporated and forecasts higher numbers of diabetic patients than the less sophisticated static model.
International Journal of Nursing StudiesThe nurse practitioner: redefining occupational boundaries?
31 Citations1999T.D. Barton, Renata Thomé +1 more
The paper argues that the key to the debate may hinge on professional and occupational boundary redefinition which is currently resisted by some members of both the nursing and medical professions.
BMJ Quality & SafetyThe outcomes agenda: contribution of the UK clearing house on health outcomes.
21 Citations1993A F Long, Paul Dixon +3 more
Despite the many practical obstacles to applying a rigorous measurement model such a model is important if there are to be methodological standards to guide data collection and assessment of health outcomes, both in research and in routine practice.
Patient Education and CounselingDutch transmural nurse clinics for chronic patients: a descriptive study
19 Citations2000Denise Temmink, Anneke L. Francke +2 more
This study describes 62 transmural nurse clinics in the Netherlands and established that most of these nurse clinics are held by a specialized community nurse at a hospital outpatient clinic.
Nurse ResearcherCollaboration in research
11 Citations2002Ruth Northway, Mike Parker +1 more
The need for researchers to work closely with people who use health and social care services has been a central theme in recent policy developments and Ruth Northway and colleagues discuss a participative research project.
PubMedCollaboration in research: testing the PIPC model on clinical and nonclinical outcomes.
7 Citations1997Cecile A. Lengacher, Mabe Pr +4 more
The results indicate that the PIPC delivery model did have positive effects on patient satisfaction and nurse satisfaction but that there were increased costs and increased time spent in documentation on the pilot unit.
Collaboration in Research
1 Citations2024Frederick W.K. Tam