An investigation into the need for shared care/mini clinics for people with diabetes in Stockport

Richmond, Jennefer

doi:10.1002/pdi.1960060508

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…11 No. 5 AUDIT Does the employment of a n on-site dietitian improve the uptake of dietetic care ingeneralpractice diabetes clinics? compared with an open-access service at a central site.…”

Section: Discussionmentioning

confidence: 99%

Does the employment of an on‐site dietitian improve the uptake of dietetic care in general practice diabetes clinics?

Bradshaw¹

1994

Pract Diab Int

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The results of a controlled trial of providing up-to-date on-site dietetic advice in primary health care diabetes clinics in a deprived FHSAarea in the North of England are described. Performance of these practices are compared with similar practices who utilise the existing open access service in the district. The study was part of a continuing audit cycle involving all practices with diabetes clinics in the district. Data were collected over one month. In the 10 practices that had an on-site dietitian, 191 patients were offered appointments. There was a 92% attendance rate; in the previous year 89% had a record of an HbA, , , 85% had a record of fundoscopy and 89% had seen the dietitian. By contrast, in the six practices who had open access to a centrally-based dietitian, 81 patients wereoffered an appointment, there was a 70% attendance rate (p

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“…11 No. 5 AUDIT Does the employment of a n on-site dietitian improve the uptake of dietetic care ingeneralpractice diabetes clinics? compared with an open-access service at a central site.…”

Section: Discussionmentioning

confidence: 99%

Does the employment of an on‐site dietitian improve the uptake of dietetic care in general practice diabetes clinics?

Bradshaw¹

1994

Pract Diab Int

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Shared care for diabetes in Chester: Preliminary experience with a ‘clinic‐wide’ scheme

1990

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In conjunction with local general practices a scheme for shared care of diabetes was set up with an initial pilot study in 1985. Subsequently this was expanded to include virtually all patients with insulin‐dependent diabetes and non‐insulin‐dependent diabetes attending the hospital clinic and incorporated over 1200 patients by the end of 1989. In the pilot study the improved ability to screen for complications was not offset by any deterioration in biochemical control resulting from the reduced frequency of hospital visits. Patients and general practitioners appeared enthusiastic in support of the ‘clinic‐wide’ Chester shared care scheme.

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Shared care: a review of the literature

Hampson

Roberts

1996

Fam Pract

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This review examines broad issues of concern regarding the primary/secondary care interface. The main purpose was to identify areas of good practice which could be adapted for more general use. One of the most fundamental aspects identified was communication, which is discussed in some detail. Also covered are shared prescribing and disease management. The data suggest that the most effective system(s) of shared care has yet to be established. Further qualitative and economic evaluations are required, taking into account patient preferences. Although the literature does describe certain practice exemplars, it is clear that inter- and intra-professional communication continues to be a problem. Whilst information technology may provide some of the solutions, it is concluded that a culture change, which compels health professionals to make sharing of patient information a much higher priority, is required.

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An investigation into the need for shared care/mini clinics for people with diabetes in Stockport

Cited by 3 publications

References 4 publications

Does the employment of an on‐site dietitian improve the uptake of dietetic care in general practice diabetes clinics?

Does the employment of an on‐site dietitian improve the uptake of dietetic care in general practice diabetes clinics?

Shared care for diabetes in Chester: Preliminary experience with a ‘clinic‐wide’ scheme

Shared care: a review of the literature

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