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dc.contributor.authorBonner, A
dc.contributor.authorHavas, K
dc.contributor.authorTam, V
dc.contributor.authorStone, C
dc.contributor.authorAbel, J
dc.contributor.authorBarnes, M
dc.contributor.authorDouglas, C
dc.date.accessioned2020-07-02T21:50:04Z
dc.date.available2020-07-02T21:50:04Z
dc.date.issued2019
dc.identifier.issn1322-7696
dc.identifier.doi10.1016/j.colegn.2018.07.009
dc.identifier.urihttp://hdl.handle.net/10072/395090
dc.description.abstractBackground: One common cluster of chronic conditions — chronic kidney disease, diabetes mellitus and heart failure — places a significant burden on the Australian healthcare system. In combination, these conditions complicate treatment, increase rates of hospitalisation and carry a poorer prognosis for survival. Current health services are organised around single conditions, making coordination of care more difficult and adding complexity to patients’ lives. Aims: To describe an integrated model of care provided by nurse practitioners for patients with multiple chronic diseases. Methods: A prospective, longitudinal study of patients with two or three chronic diseases attending a community-based nurse practitioner clinic. On entry to the clinic demographic and clinical data were collected from patients and health records (n = 121). At six months a subgroup (n = 70) also reported their satisfaction with the clinic. Findings: Over 18 months the clinic provided 925 appointments to patients aged between 27–90 years. Most (79.2%) had chronic kidney disease as one of their diagnoses. At baseline, blood pressure and glycosylated haemoglobin targets were achieved by 66.4% and 83.2% respectively, although only 7.1% had a healthy-range body mass index. After six months of attendance, there was high overall patient satisfaction with the new service (98.7%). Discussion: Nurse practitioners can reform healthcare delivery through innovative person-centred models of care, breaking down the siloes of treatment for chronic disease. Conclusion: In the current and growing context of multi-morbid chronic health conditions, integration of care within and across organisations is required to meet future health care demands.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom227
dc.relation.ispartofpageto234
dc.relation.ispartofissue2
dc.relation.ispartofjournalCollegian
dc.relation.ispartofvolume26
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.titleAn integrated chronic disease nurse practitioner clinic: Service model description and patient profile
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBonner, A; Havas, K; Tam, V; Stone, C; Abel, J; Barnes, M; Douglas, C, An integrated chronic disease nurse practitioner clinic: Service model description and patient profile, Collegian, 2019, 26 (2), pp. 227-234
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-07-02T03:44:24Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2019 Australian College of Nursing Ltd. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorBonner, Ann J.


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