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The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery
In 2008, as part of the changes to develop integrated health care services in the Canterbury region of New Zealand, the local health board in collaboration with general practitioners, respiratory specialists and scientists introduced a programme for general practices to provide laboratory-quality sp...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373496/ https://www.ncbi.nlm.nih.gov/pubmed/25741629 http://dx.doi.org/10.1038/npjpcrm.2015.3 |
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author | Epton, Michael J Stanton, Josh D McGeoch, Graham RB Shand, Brett I Swanney, Maureen P |
author_facet | Epton, Michael J Stanton, Josh D McGeoch, Graham RB Shand, Brett I Swanney, Maureen P |
author_sort | Epton, Michael J |
collection | PubMed |
description | In 2008, as part of the changes to develop integrated health care services in the Canterbury region of New Zealand, the local health board in collaboration with general practitioners, respiratory specialists and scientists introduced a programme for general practices to provide laboratory-quality spirometry in the community. The service adhered to the 2005 ATS/ERS international spirometry standards. The spirometry service was provided by trained practice nurses and community respiratory nurses, and was monitored and quality assured by certified respiratory scientists in the Respiratory Physiology Laboratory, Christchurch Hospital and CISO (Canterbury Initiative Services Organisation). These two organisations were responsible for organising training seminars and refresher courses on spirometry technique and interpretation of results. A total of 10 practices have now become approved spirometry providers, with the number of tests carried out in the primary care setting increasing gradually. Consistently high-quality spirometry tests have been obtained and are now presented on a centrally available results database for all hospital and community clinicians to review. Although the service has proved to be more convenient for patients, the tests have not been delivered as quickly as those carried out by the Respiratory Physiology Laboratory. However, the time scales for testing achieved by the community service is considered suitable for investigation of chronic disease. The success of the service has been dependent on several key factors including hospital and clinical support and a centralised quality assurance programme, a comprehensive training schedule and online clinical guidance and close integration between primary and secondary care clinicians. |
format | Online Article Text |
id | pubmed-4373496 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Nature Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-43734962015-09-15 The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery Epton, Michael J Stanton, Josh D McGeoch, Graham RB Shand, Brett I Swanney, Maureen P NPJ Prim Care Respir Med Perspective In 2008, as part of the changes to develop integrated health care services in the Canterbury region of New Zealand, the local health board in collaboration with general practitioners, respiratory specialists and scientists introduced a programme for general practices to provide laboratory-quality spirometry in the community. The service adhered to the 2005 ATS/ERS international spirometry standards. The spirometry service was provided by trained practice nurses and community respiratory nurses, and was monitored and quality assured by certified respiratory scientists in the Respiratory Physiology Laboratory, Christchurch Hospital and CISO (Canterbury Initiative Services Organisation). These two organisations were responsible for organising training seminars and refresher courses on spirometry technique and interpretation of results. A total of 10 practices have now become approved spirometry providers, with the number of tests carried out in the primary care setting increasing gradually. Consistently high-quality spirometry tests have been obtained and are now presented on a centrally available results database for all hospital and community clinicians to review. Although the service has proved to be more convenient for patients, the tests have not been delivered as quickly as those carried out by the Respiratory Physiology Laboratory. However, the time scales for testing achieved by the community service is considered suitable for investigation of chronic disease. The success of the service has been dependent on several key factors including hospital and clinical support and a centralised quality assurance programme, a comprehensive training schedule and online clinical guidance and close integration between primary and secondary care clinicians. Nature Publishing Group 2015-03-05 /pmc/articles/PMC4373496/ /pubmed/25741629 http://dx.doi.org/10.1038/npjpcrm.2015.3 Text en Copyright © 2015 Primary Care Respiratory Society UK/Macmillan Publishers Limited http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ |
spellingShingle | Perspective Epton, Michael J Stanton, Josh D McGeoch, Graham RB Shand, Brett I Swanney, Maureen P The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title | The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title_full | The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title_fullStr | The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title_full_unstemmed | The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title_short | The development of a community-based spirometry service in the Canterbury region of New Zealand: observations on new service delivery |
title_sort | development of a community-based spirometry service in the canterbury region of new zealand: observations on new service delivery |
topic | Perspective |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373496/ https://www.ncbi.nlm.nih.gov/pubmed/25741629 http://dx.doi.org/10.1038/npjpcrm.2015.3 |
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