Outcomes and opportunities: A nurse-led model of chronic disease management in Australian general practice

Diann S. Eley, Elizabeth Patterson, Jacqui Young, Paul P. Fahey, Chris B. Del Mar, Desley G. Hegney, Robyn L. Synnott, Rosemary Mahomed, Peter G. Baker, Paul A. Scuffham

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)

Abstract

The Australian government's commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model's feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients' stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

Original languageEnglish
Pages (from-to)150-158
Number of pages9
JournalAustralian Journal of Primary Health
Volume19
Issue number2
DOIs
Publication statusPublished - 2013

Fingerprint

Disease Management
General Practice
Chronic Disease
Nurses
Quality of Life
Feasibility Studies
Type 2 Diabetes Mellitus
Health Services
Myocardial Ischemia
Hypertension

Cite this

Eley, Diann S. ; Patterson, Elizabeth ; Young, Jacqui ; Fahey, Paul P. ; Del Mar, Chris B. ; Hegney, Desley G. ; Synnott, Robyn L. ; Mahomed, Rosemary ; Baker, Peter G. ; Scuffham, Paul A. / Outcomes and opportunities : A nurse-led model of chronic disease management in Australian general practice. In: Australian Journal of Primary Health. 2013 ; Vol. 19, No. 2. pp. 150-158.
@article{668c30185a0c4bcb96c27a009f97ad23,
title = "Outcomes and opportunities: A nurse-led model of chronic disease management in Australian general practice",
abstract = "The Australian government's commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model's feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients' stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.",
author = "Eley, {Diann S.} and Elizabeth Patterson and Jacqui Young and Fahey, {Paul P.} and {Del Mar}, {Chris B.} and Hegney, {Desley G.} and Synnott, {Robyn L.} and Rosemary Mahomed and Baker, {Peter G.} and Scuffham, {Paul A.}",
year = "2013",
doi = "10.1071/PY11164",
language = "English",
volume = "19",
pages = "150--158",
journal = "Australian Journal of Primary Health - Interchange",
issn = "1324-2296",
publisher = "CSIRO",
number = "2",

}

Eley, DS, Patterson, E, Young, J, Fahey, PP, Del Mar, CB, Hegney, DG, Synnott, RL, Mahomed, R, Baker, PG & Scuffham, PA 2013, 'Outcomes and opportunities: A nurse-led model of chronic disease management in Australian general practice' Australian Journal of Primary Health, vol. 19, no. 2, pp. 150-158. https://doi.org/10.1071/PY11164

Outcomes and opportunities : A nurse-led model of chronic disease management in Australian general practice. / Eley, Diann S.; Patterson, Elizabeth; Young, Jacqui; Fahey, Paul P.; Del Mar, Chris B.; Hegney, Desley G.; Synnott, Robyn L.; Mahomed, Rosemary; Baker, Peter G.; Scuffham, Paul A.

In: Australian Journal of Primary Health, Vol. 19, No. 2, 2013, p. 150-158.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Outcomes and opportunities

T2 - A nurse-led model of chronic disease management in Australian general practice

AU - Eley, Diann S.

AU - Patterson, Elizabeth

AU - Young, Jacqui

AU - Fahey, Paul P.

AU - Del Mar, Chris B.

AU - Hegney, Desley G.

AU - Synnott, Robyn L.

AU - Mahomed, Rosemary

AU - Baker, Peter G.

AU - Scuffham, Paul A.

PY - 2013

Y1 - 2013

N2 - The Australian government's commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model's feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients' stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

AB - The Australian government's commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model's feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients' stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

UR - http://www.scopus.com/inward/record.url?scp=84877623650&partnerID=8YFLogxK

U2 - 10.1071/PY11164

DO - 10.1071/PY11164

M3 - Article

VL - 19

SP - 150

EP - 158

JO - Australian Journal of Primary Health - Interchange

JF - Australian Journal of Primary Health - Interchange

SN - 1324-2296

IS - 2

ER -