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Nurse-led clinic: Effective and efficient delivery of assessment and review of patients with Hepatitis B and C

Biddle, M.L., Adler, N.R., Heath, M., Streat, S., Wardrop, M. and Watson, J.P. 2013, Nurse-led clinic: Effective and efficient delivery of assessment and review of patients with Hepatitis B and C, Internal medicine journal, vol. IN PRESS, pp. 1-6, doi: 10.1111/imj.12400.

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Title Nurse-led clinic: Effective and efficient delivery of assessment and review of patients with Hepatitis B and C
Author(s) Biddle, M.L.
Adler, N.R.
Heath, M.
Streat, S.
Wardrop, M.
Watson, J.P.
Journal name Internal medicine journal
Volume number IN PRESS
Start page 1
End page 6
Total pages 6
Publisher Wiley
Place of publication London, Eng.
Publication date 2013
ISSN 1445-5994
Keyword(s) nurse-led clinic
Hepatitis C Virus (HCV)
Hepatology services
Summary Hepatology and gastroenterology services are increasingly utilising the skills and experience of nurse practitioners and nurse specialists to help meet the increasing demand for health care. A new nurse-led assessment clinic has been established in the liver clinic at Geelong Hospital to utilise the expertise of nurses to assess and triage new patients and streamline their pathway through the health care system. The aim of this study is to quantitatively assess the first two years of operation of the nurse assessment clinic at Geelong Hospital, and to assess advantages and disadvantages of the nurse-led clinic. Data was extracted retrospectively from clinical records of new patients at the liver clinic. Quarterly one-month periods were recorded over two-years. Patients were categorised according to the path via which they saw a physician, including missed and rescheduled appointments. The number of appointments, the waiting time from referral to appointments and the number of ‘did-not-attend’ occasions were analysed before and after the institution of the nurse-led assessment clinic. The Mann-Whitney rank sum test of ordinal data was used to generate median wait times. There was shown to be a statistically significant longer waiting time for physician appointment if seen by the nurse first. The difference in waiting time was 10 days. However, there was also a reduction in the number of missed appointments at the subsequent physician clinic. Other advantages have also been identified including effective triage of patients, and organisation of appropriate investigations from the initial nurse assessment.
Language eng
DOI 10.1111/imj.12400
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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