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Primary care nurses: effects on secondary care referrals for diabetes
BACKGROUND: Primary care nurses play an important role in diabetes care, and were introduced in GP-practice partly to shift care from hospital to primary care. The aim of this study was to assess whether the referral rate for hospital treatment for diabetes type II (T2DM) patients has changed with t...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924333/ https://www.ncbi.nlm.nih.gov/pubmed/20691051 http://dx.doi.org/10.1186/1472-6963-10-230 |
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author | van Dijk, Christel E Verheij, Robert A Hansen, Johan van der Velden, Lud Nijpels, Giel Groenewegen, Peter P de Bakker, Dinny H |
author_facet | van Dijk, Christel E Verheij, Robert A Hansen, Johan van der Velden, Lud Nijpels, Giel Groenewegen, Peter P de Bakker, Dinny H |
author_sort | van Dijk, Christel E |
collection | PubMed |
description | BACKGROUND: Primary care nurses play an important role in diabetes care, and were introduced in GP-practice partly to shift care from hospital to primary care. The aim of this study was to assess whether the referral rate for hospital treatment for diabetes type II (T2DM) patients has changed with the introduction of primary care nurses, and whether these changes were related to the number of diabetes-related contacts in a general practice. METHODS: Healthcare utilisation was assessed for a period of 365 days for 301 newly diagnosed and 2124 known T2DM patients in 2004 and 450 and 3226 patients in 2006 from general practices that participated in the Netherlands Information Network of General Practice (LINH). Multilevel logistic and linear regression analyses were used to analyse the effect of the introduction of primary care nurses on referrals to internists, ophthalmologists and cardiologists and diabetes-related contact rate. Separate analyses were conducted for newly diagnosed and known T2DM patients. RESULTS: Referrals to internists for newly diagnosed T2DM patients decreased between 2004 and 2006 (OR:0.44; 95%CI:0.22-0.87) in all practices. For known T2DM patients no overall decrease in referrals to internists was found, but practices with a primary care nurse had a lower trend (OR:0.59). The number of diabetes-related contacts did not differ between practices with and without primary care nurses. Cardiologists' and ophthalmologists' referral rate did not change. CONCLUSIONS: The introduction of primary care nurses seems to have led to a shift of care from internists to primary care for known diabetes patients, while the diabetes-related contact rate seem to have remained unchanged. |
format | Text |
id | pubmed-2924333 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-29243332010-08-20 Primary care nurses: effects on secondary care referrals for diabetes van Dijk, Christel E Verheij, Robert A Hansen, Johan van der Velden, Lud Nijpels, Giel Groenewegen, Peter P de Bakker, Dinny H BMC Health Serv Res Research Article BACKGROUND: Primary care nurses play an important role in diabetes care, and were introduced in GP-practice partly to shift care from hospital to primary care. The aim of this study was to assess whether the referral rate for hospital treatment for diabetes type II (T2DM) patients has changed with the introduction of primary care nurses, and whether these changes were related to the number of diabetes-related contacts in a general practice. METHODS: Healthcare utilisation was assessed for a period of 365 days for 301 newly diagnosed and 2124 known T2DM patients in 2004 and 450 and 3226 patients in 2006 from general practices that participated in the Netherlands Information Network of General Practice (LINH). Multilevel logistic and linear regression analyses were used to analyse the effect of the introduction of primary care nurses on referrals to internists, ophthalmologists and cardiologists and diabetes-related contact rate. Separate analyses were conducted for newly diagnosed and known T2DM patients. RESULTS: Referrals to internists for newly diagnosed T2DM patients decreased between 2004 and 2006 (OR:0.44; 95%CI:0.22-0.87) in all practices. For known T2DM patients no overall decrease in referrals to internists was found, but practices with a primary care nurse had a lower trend (OR:0.59). The number of diabetes-related contacts did not differ between practices with and without primary care nurses. Cardiologists' and ophthalmologists' referral rate did not change. CONCLUSIONS: The introduction of primary care nurses seems to have led to a shift of care from internists to primary care for known diabetes patients, while the diabetes-related contact rate seem to have remained unchanged. BioMed Central 2010-08-06 /pmc/articles/PMC2924333/ /pubmed/20691051 http://dx.doi.org/10.1186/1472-6963-10-230 Text en Copyright ©2010 van Dijk et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article van Dijk, Christel E Verheij, Robert A Hansen, Johan van der Velden, Lud Nijpels, Giel Groenewegen, Peter P de Bakker, Dinny H Primary care nurses: effects on secondary care referrals for diabetes |
title | Primary care nurses: effects on secondary care referrals for diabetes |
title_full | Primary care nurses: effects on secondary care referrals for diabetes |
title_fullStr | Primary care nurses: effects on secondary care referrals for diabetes |
title_full_unstemmed | Primary care nurses: effects on secondary care referrals for diabetes |
title_short | Primary care nurses: effects on secondary care referrals for diabetes |
title_sort | primary care nurses: effects on secondary care referrals for diabetes |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2924333/ https://www.ncbi.nlm.nih.gov/pubmed/20691051 http://dx.doi.org/10.1186/1472-6963-10-230 |
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