Cargando…
Nurse led versus lay educators support for those with asthma in primary care: a costing study
BACKGROUND: Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses. METHODS: Following the RCT, a co...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3503752/ https://www.ncbi.nlm.nih.gov/pubmed/22958541 http://dx.doi.org/10.1186/1471-2466-12-52 |
_version_ | 1782250500471652352 |
---|---|
author | Roberts, Nicola J Boyd, Kathleen A Briggs, Andrew H Caress, Ann L Partridge, Martyn R |
author_facet | Roberts, Nicola J Boyd, Kathleen A Briggs, Andrew H Caress, Ann L Partridge, Martyn R |
author_sort | Roberts, Nicola J |
collection | PubMed |
description | BACKGROUND: Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses. METHODS: Following the RCT, a costing study was undertaken using the trial data to account for the cost of delivery of the service under both strategies and the resulting impact on unscheduled healthcare (measure of effectiveness) in this trial. RESULTS: One year data (n = 418) showed that 29% (61/205) of the nurse group required unscheduled healthcare (177 events) compared with 30.5% (65/213) for lay-trainers (178 events). The training costs for the lay-trainers were greater than nurses (£36 versus £18 respectively per patient, p<0.001), however, the consultation cost for lay-trainers were lower than nurses (£6 per patient versus £24, p<0.001). If the cost of unscheduled healthcare are accounted for then the costs of nurses is £161, and £135 for lay-trainers (mean difference £25, [95% CI = −£97, £149, p = 0.681]). The total costs (delivery and unscheduled healthcare) were £202 per patient for nurses versus £178 for lay-trainers, (mean difference £24, [95%CI = −£100, £147, p = 0.707]). CONCLUSIONS: There were no significant differences in the cost of training and healthcare delivery between nurse and lay trainers, and no significant difference in the cost of unscheduled health care use. |
format | Online Article Text |
id | pubmed-3503752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35037522012-11-22 Nurse led versus lay educators support for those with asthma in primary care: a costing study Roberts, Nicola J Boyd, Kathleen A Briggs, Andrew H Caress, Ann L Partridge, Martyn R BMC Pulm Med Research Article BACKGROUND: Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses. METHODS: Following the RCT, a costing study was undertaken using the trial data to account for the cost of delivery of the service under both strategies and the resulting impact on unscheduled healthcare (measure of effectiveness) in this trial. RESULTS: One year data (n = 418) showed that 29% (61/205) of the nurse group required unscheduled healthcare (177 events) compared with 30.5% (65/213) for lay-trainers (178 events). The training costs for the lay-trainers were greater than nurses (£36 versus £18 respectively per patient, p<0.001), however, the consultation cost for lay-trainers were lower than nurses (£6 per patient versus £24, p<0.001). If the cost of unscheduled healthcare are accounted for then the costs of nurses is £161, and £135 for lay-trainers (mean difference £25, [95% CI = −£97, £149, p = 0.681]). The total costs (delivery and unscheduled healthcare) were £202 per patient for nurses versus £178 for lay-trainers, (mean difference £24, [95%CI = −£100, £147, p = 0.707]). CONCLUSIONS: There were no significant differences in the cost of training and healthcare delivery between nurse and lay trainers, and no significant difference in the cost of unscheduled health care use. BioMed Central 2012-09-08 /pmc/articles/PMC3503752/ /pubmed/22958541 http://dx.doi.org/10.1186/1471-2466-12-52 Text en Copyright ©2012 Roberts 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 Roberts, Nicola J Boyd, Kathleen A Briggs, Andrew H Caress, Ann L Partridge, Martyn R Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title | Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title_full | Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title_fullStr | Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title_full_unstemmed | Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title_short | Nurse led versus lay educators support for those with asthma in primary care: a costing study |
title_sort | nurse led versus lay educators support for those with asthma in primary care: a costing study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3503752/ https://www.ncbi.nlm.nih.gov/pubmed/22958541 http://dx.doi.org/10.1186/1471-2466-12-52 |
work_keys_str_mv | AT robertsnicolaj nurseledversuslayeducatorssupportforthosewithasthmainprimarycareacostingstudy AT boydkathleena nurseledversuslayeducatorssupportforthosewithasthmainprimarycareacostingstudy AT briggsandrewh nurseledversuslayeducatorssupportforthosewithasthmainprimarycareacostingstudy AT caressannl nurseledversuslayeducatorssupportforthosewithasthmainprimarycareacostingstudy AT partridgemartynr nurseledversuslayeducatorssupportforthosewithasthmainprimarycareacostingstudy |