Evaluation of the impact of nursing clinics in the rheumatology services

Data de publicació: 01/09/2016

Autors de IIS La Fe

José Andrés Román Ivorra

Autor

Autors aliens a IIS La Fe

Munoz-Fernandez, S
Aguilar, MD
Rodriguez, A
Almodovar, R
Cano-Garcia, L
Gracia, LA
Rodriguez, JR
Navio, T
Lazaro, P
SCORE Working Grp

Grups d'Investigació

Reumatología

Leader

José Andrés Román Ivorra

Abstract

Nursing clinics in rheumatology (NCRs) are organisational care models that provide care centred within the scope of a nurse's abilities. To analyse the impact of NCR in the rheumatology services, national multicenter observational prospective cohort studied 1-year follow-up, comparing patients attending rheumatology services with and without NCR. NCR was defined by the presence of: (1) office itself; (2) at least one dedicated nurse; and (3) its own appointment schedule. Variables included were (baseline, 6 and 12 months): (a) test to evaluate clinical activity of the disease, research and training, infrastructure of unit and resources of NCR and (b) tests to evaluate socio-demographics, work productivity (WPAI), use of services and treatments and quality of life. A total of 393 rheumatoid arthritis and ankylosing spondylitis patients were included: 181 NCR and 212 not NCR, corresponding to 39 units, 21 with NCR and 18 without NCR (age 53 + 11.8 vs 56 + 13.5 years). Statistically significant differences were found in patients attended in sites without NCR, at some of the visits (baseline, 6 or 12 months), for the following parameters: higher CRP level (5.9 mg/l +/- 8.3 vs 4.8 mg/l +/- 7.8; p < 0.005), global disease evaluation by the patient (3.6 +/- 2.3 vs 3.1 +/- 2.4), physician (2.9 +/- 2.1 vs 2.3 +/- 2.1; p < 0.05), use of primary care consultations (2.7 +/- 5.4 vs 1.4 +/- 2.3; p < 0.001) and worse work productivity. The presence of NCR in the rheumatology services contributes to improve some clinical outcomes, a lower frequency of primary care consultations and better work productivity of patients with rheumatic diseases.

Dades de la publicació

ISSN/ISSNe:: 0172-8172, 1437-160X
Tipus:: Article
Pàgines:: 1309-1317
DOI:: 10.1007/s00296-016-3518-z
PubMed:: 27435921
Factor d'Impacte:: 0,724 SCImago ℠
Quartil:: Q2 SCImago ℠

Documents

No hi ha documents

Mètriques

Filiacions

Munoz-Fernandez, S:: Univ Europea Madrid, Rheumatol Sect, Hosp Univ Infanta Sofia, Paseo de Europa 34, Madrid 28702, Spain
Rodriguez, A:: Univ Europea Madrid, Rheumatol Sect, Hosp Univ Infanta Sofia, Paseo de Europa 34, Madrid 28702, Spain
Almodovar, R:: Hosp Univ Fdn Alcorcon, Rheumatol Unit, Madrid, Spain
Cano-Garcia, L:: Univ Malaga, Hosp Reg Malaga, Inst Invest Biomed Malaga,IBIMA, Rheumatol Clin Management Unit,Malaga Inst Biomed, Malaga, Spain
Gracia, LA:: Hosp Sagunto, Rheumatol Sect, Valencia, Spain
Roman-Ivorra, JA:: Univ Catolica, Hosp Univ & Politecn La Fe, Res Unit, Rheumatol Serv, Valencia, Spain
Rodriguez, JR:: Hosp Gen Vic, Rheumatol Unit, Barcelona, Spain
Navio, T:: Hosp Univ Infanta Leonor, Rheumatol Sect, Madrid, Spain

Keywords

Ankylosing spondylitis; Nursing; Health services research; Quality indicators; Rheumatoid arthritis

Campos d'Estudi

Projectes associats

CON-CIENCIA-YV: PILDORAS DE SALUD

FCT-13-7457_FECYT_2013 . MINISTERIO DE ECONOMIA Y COMPETITIVIDAD; FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2013