The nurse specialist as main care-provider for patients with type 2 diabetes in a primary care setting: effects on patient outcomes

A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest–posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for pati...

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Bibliographic Details
Published in:International journal of nursing studies 2002-05, Vol.39 (4), p.441-451
Main Authors: Vrijhoef, H.J.M, Diederiks, J.P.M, Spreeuwenberg, C, Wolffenbuttel, B.H.R, van Wilderen, L.J.G.P
Format: Article
Language:English
Subjects:
Biological and medical sciences
Clinical nurse specialists
Diabetes Mellitus, Type 2 - nursing
Diabetes Mellitus, Type 2 - therapy
Diabetes nurse
Diabetes. Impaired glucose tolerance
Diabetics
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Evaluation research
Female
General practice
Humans
Knowledge
Male
Management. Various non-drug treatments. Langerhans islet grafts
Medical sciences
Middle Aged
Netherlands
Nurse Clinicians - utilization
Nursing
Outcome measures
Patient Satisfaction
Patients
Primary Health Care
Quality of care
Quality of Life
Research Design
Self Care
Shared care
Shared care model
Treatment Outcome
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Summary:A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest–posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 diabetes in a primary care setting. The shared care model resulted in an improved glycaemic control, additional consultations and other outcomes being equivalent to diabetes care before introduction, with the general practitioner as main care-provider. Assignment of care for patients with type 2 diabetes to nurse specialists seems to be justified.
ISSN:0020-7489
1873-491X
DOI:10.1016/S0020-7489(01)00046-3