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Article: Quality of care of nurse-led and allied health personnel-led primary care clinics

TitleQuality of care of nurse-led and allied health personnel-led primary care clinics
Authors
KeywordsAllied health-personnel
Health services needs and demand
Nurse practitioners
Primary health care
Quality of life
Issue Date2011
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2011, v. 17 n. 3, p. 217-230 How to Cite?
AbstractObjectives To review the literature regarding quality of care of nurse-led and allied health personnel-led primary care clinics with specific attention to the quality indicators for fall prevention, continence care, pulmonary rehabilitation, mental health, pharmaceutical care, and wound care services. Data sources Literature search from 1990 to 2010 including Ovid Medline, Cochrane Database, RAND (Research and Development) Corporation Health Database, the ACOVE (Assessing the Care of Vulnerable Elders) project and clinical guidelines from the United Kingdom, Australia, Canada, and the United States. Study selection This review was limited to studies involving adult, primary care patients. Where available, evidence from systematic reviews and meta-analyses were used to synthesize findings. Data extraction Combinations of the following terms (and related terms) were used to identify studies: primary care, clinic, allied-health, nurse-led, fall prevention, continence care, incontinence, chronic obstructive pulmonary disorder, pulmonary disease, respiratory rehabilitation, mental health, mental wellbeing, depression, anxiety, wound care, leg ulcer, venous ulcer, dressings clinic, wound clinic, medication review, pharmacist-led, pharmaceutical care. Data synthesis A total of 21 international guidelines and 33 studies were selected for data synthesis. Despite a lack of consistent outcomes data, it is apparent that certain aspects of organizational structure and clinical care processes are important though not necessarily sufficient indicators of quality of care, because they themselves can influence care outcomes. Seven key factors were identified which seem important determinants of the quality of care provided by nurse- and allied health personnel-led clinics. Conclusion Delivery of primary health care by nurse and allied health personnel-led teams is a well-established model, internationally. Evidence from the literature provides benchmarks for standards of good practice. Knowledge of factors influencing quality of care can assist the planning, implementation, evaluation, and further expansion of such programmes, locally.
Persistent Identifierhttp://hdl.handle.net/10722/135180
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorChin, WYen_HK
dc.contributor.authorLam, CLKen_HK
dc.contributor.authorLo, SVen_HK
dc.date.accessioned2011-07-27T01:29:33Z-
dc.date.available2011-07-27T01:29:33Z-
dc.date.issued2011en_HK
dc.identifier.citationHong Kong Medical Journal, 2011, v. 17 n. 3, p. 217-230en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/135180-
dc.description.abstractObjectives To review the literature regarding quality of care of nurse-led and allied health personnel-led primary care clinics with specific attention to the quality indicators for fall prevention, continence care, pulmonary rehabilitation, mental health, pharmaceutical care, and wound care services. Data sources Literature search from 1990 to 2010 including Ovid Medline, Cochrane Database, RAND (Research and Development) Corporation Health Database, the ACOVE (Assessing the Care of Vulnerable Elders) project and clinical guidelines from the United Kingdom, Australia, Canada, and the United States. Study selection This review was limited to studies involving adult, primary care patients. Where available, evidence from systematic reviews and meta-analyses were used to synthesize findings. Data extraction Combinations of the following terms (and related terms) were used to identify studies: primary care, clinic, allied-health, nurse-led, fall prevention, continence care, incontinence, chronic obstructive pulmonary disorder, pulmonary disease, respiratory rehabilitation, mental health, mental wellbeing, depression, anxiety, wound care, leg ulcer, venous ulcer, dressings clinic, wound clinic, medication review, pharmacist-led, pharmaceutical care. Data synthesis A total of 21 international guidelines and 33 studies were selected for data synthesis. Despite a lack of consistent outcomes data, it is apparent that certain aspects of organizational structure and clinical care processes are important though not necessarily sufficient indicators of quality of care, because they themselves can influence care outcomes. Seven key factors were identified which seem important determinants of the quality of care provided by nurse- and allied health personnel-led clinics. Conclusion Delivery of primary health care by nurse and allied health personnel-led teams is a well-established model, internationally. Evidence from the literature provides benchmarks for standards of good practice. Knowledge of factors influencing quality of care can assist the planning, implementation, evaluation, and further expansion of such programmes, locally.en_HK
dc.languageengen_US
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectAllied health-personnelen_HK
dc.subjectHealth services needs and demanden_HK
dc.subjectNurse practitionersen_HK
dc.subjectPrimary health careen_HK
dc.subjectQuality of lifeen_HK
dc.subject.meshAllied Health Personnel - organization and administration - standards-
dc.subject.meshAmbulatory Care - organization and administration - standards-
dc.subject.meshDelivery of Health Care - organization and administration - standards-
dc.subject.meshPrimary Health Care - organization and administration - standards-
dc.subject.meshQuality of Health Care-
dc.titleQuality of care of nurse-led and allied health personnel-led primary care clinicsen_HK
dc.typeArticleen_HK
dc.identifier.emailChin, WY:chinwy@hku.hken_HK
dc.identifier.emailLam, CLK:clklam@hku.hken_HK
dc.identifier.authorityChin, WY=rp00290en_HK
dc.identifier.authorityLam, CLK=rp00350en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.pmid21636870-
dc.identifier.scopuseid_2-s2.0-79958741389en_HK
dc.identifier.hkuros186421en_US
dc.identifier.hkuros207799-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79958741389&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue3en_HK
dc.identifier.spage217en_HK
dc.identifier.epage230en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridChin, WY=35117470300en_HK
dc.identifier.scopusauthoridLam, CLK=24755913900en_HK
dc.identifier.scopusauthoridLo, SV=16245547200en_HK

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