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Article: Coordinating and standardizing long-term care: Evaluation of the west of Scotland shared-care scheme for hypertension

TitleCoordinating and standardizing long-term care: Evaluation of the west of Scotland shared-care scheme for hypertension
Authors
KeywordsGP hospital relationship
Hypertension
Interprofessional relations
Long term care
Shared care
Issue Date1994
PublisherRoyal College of General Practitioners. The Journal's web site is located at http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.asp
Citation
British Journal Of General Practice, 1994, v. 44 n. 387, p. 441-445 How to Cite?
AbstractBackground. The long-term management of patients with chronic conditions such as hypertension presents problems for the health services. Shared care addresses these by coordinating care and defining responsibilities. Aim: This study set out to investigate the feasibility, acceptability and cost effectiveness of shared general practitioner-hospital care for well-controlled hypertensive patients in an urban area by comparing three matched groups of patients. Method. A total of 554 outpatient clinic attenders, considered suitable for shared care by their consultant, were randomly allocated to shared care or follow up in the outpatient clinic; a third group of 277 patients was selected from a nurse practitioner clinic. Main outcome measures were the proportion of patients in the second year of follow up who had undergone a complete review (blood pressure measurement, serum creatinine level result and electrocardiograph report), acceptability to patients and general practitioners as assessed by questionnaire, and cost per complete review in year two (National Health Service and patient costs). Results. After two years 220 (82%) shared care patients had had a complete review compared with 146 (54%) outpatient clinic attenders and 202 (75%) nurse practitioner clinic attenders. Blood pressure control was similar in each group. Of 297 general practitioners invited, 85% wished to participate in the study; 61% of questionnaire respondents subsequently wanted shared care to continue while 25% were unsure. Half of the patients receiving shared care preferred this method of follow up. The rank order of cost effectiveness ratios was shared care, nurse practitioner care and conventional outpatient care, relative differences being most marked when only patient costs were considered. Conclusion. Shared care for hypertension is feasible in an urban setting, acceptable to the majority of participants and is a cost-effective method of long-term follow up.
Persistent Identifierhttp://hdl.handle.net/10722/49366
ISSN
2015 Impact Factor: 2.741
2015 SCImago Journal Rankings: 0.767
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMcGhee, SMen_HK
dc.contributor.authorMcInnes, GTen_HK
dc.contributor.authorHedley, AJen_HK
dc.contributor.authorMurray, TSen_HK
dc.contributor.authorReid, JLen_HK
dc.date.accessioned2008-06-12T06:40:34Z-
dc.date.available2008-06-12T06:40:34Z-
dc.date.issued1994en_HK
dc.identifier.citationBritish Journal Of General Practice, 1994, v. 44 n. 387, p. 441-445en_HK
dc.identifier.issn0960-1643en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49366-
dc.description.abstractBackground. The long-term management of patients with chronic conditions such as hypertension presents problems for the health services. Shared care addresses these by coordinating care and defining responsibilities. Aim: This study set out to investigate the feasibility, acceptability and cost effectiveness of shared general practitioner-hospital care for well-controlled hypertensive patients in an urban area by comparing three matched groups of patients. Method. A total of 554 outpatient clinic attenders, considered suitable for shared care by their consultant, were randomly allocated to shared care or follow up in the outpatient clinic; a third group of 277 patients was selected from a nurse practitioner clinic. Main outcome measures were the proportion of patients in the second year of follow up who had undergone a complete review (blood pressure measurement, serum creatinine level result and electrocardiograph report), acceptability to patients and general practitioners as assessed by questionnaire, and cost per complete review in year two (National Health Service and patient costs). Results. After two years 220 (82%) shared care patients had had a complete review compared with 146 (54%) outpatient clinic attenders and 202 (75%) nurse practitioner clinic attenders. Blood pressure control was similar in each group. Of 297 general practitioners invited, 85% wished to participate in the study; 61% of questionnaire respondents subsequently wanted shared care to continue while 25% were unsure. Half of the patients receiving shared care preferred this method of follow up. The rank order of cost effectiveness ratios was shared care, nurse practitioner care and conventional outpatient care, relative differences being most marked when only patient costs were considered. Conclusion. Shared care for hypertension is feasible in an urban setting, acceptable to the majority of participants and is a cost-effective method of long-term follow up.en_HK
dc.format.extent388 bytes-
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dc.languageengen_HK
dc.publisherRoyal College of General Practitioners. The Journal's web site is located at http://www.rcgp.org.uk/webmaster/ebjgp/journallogin.asp?OrigURL=/journal/index.aspen_HK
dc.relation.ispartofBritish Journal of General Practiceen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectGP hospital relationshipen_HK
dc.subjectHypertensionen_HK
dc.subjectInterprofessional relationsen_HK
dc.subjectLong term careen_HK
dc.subjectShared careen_HK
dc.titleCoordinating and standardizing long-term care: Evaluation of the west of Scotland shared-care scheme for hypertensionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0960-1643&volume=44&issue=387&spage=441&epage=445&date=1994&atitle=Coordinating+and+standardizing+long-term+care:+evaluation+of+the+west+of+Scotland+shared-care+scheme+for+hypertensionen_HK
dc.identifier.emailMcGhee, SM:smmcghee@hkucc.hku.hken_HK
dc.identifier.emailHedley, AJ:hrmrajh@hkucc.hku.hken_HK
dc.identifier.authorityMcGhee, SM=rp00393en_HK
dc.identifier.authorityHedley, AJ=rp00357en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid7748631-
dc.identifier.pmcidPMC1239016en_HK
dc.identifier.scopuseid_2-s2.0-0028143295en_HK
dc.identifier.hkuros1585-
dc.identifier.volume44en_HK
dc.identifier.issue387en_HK
dc.identifier.spage441en_HK
dc.identifier.epage445en_HK
dc.identifier.isiWOS:A1994PM28000004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_HK
dc.identifier.scopusauthoridMcInnes, GT=18735269900en_HK
dc.identifier.scopusauthoridHedley, AJ=7102584095en_HK
dc.identifier.scopusauthoridMurray, TS=7401956431en_HK
dc.identifier.scopusauthoridReid, JL=35398177900en_HK

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