AI Article Synopsis
- Nurse Practitioner-Led Clinics in Ontario offer a new primary healthcare model where nurse practitioners lead an interprofessional team, yet evaluations of care quality are lacking.
- The study aims to assess diabetes care completeness and the influence of organizational tools, like electronic records and care templates, on treatment for diabetes patients with additional chronic conditions.
- Results revealed that care for these patients was generally complete in Nurse Practitioner-Led Clinics, but no significant links were found between patient or organizational factors and the completeness of diabetes care.
Article Abstract
Background Nurse Practitioner-Led Clinics are a new model of primary healthcare in Ontario. Nurse Practitioner-Led Clinics are distinctive in that nurse practitioners are the primary care providers working with an interprofessional team. There have been no evaluations of the quality of care within the Nurse Practitioner-Led Clinic model. Purpose Evaluation of the Nurse Practitioner-Led Clinic model, specifically for complex clinical presentations, will provide insights that may be used to inform improvements to the delivery of care in the Nurse Practitioner-Led Clinics. The aim of this study was to evaluate the extent to which diabetes care was complete and to determine the impact of organizational tools, including electronic medical record tracking, diabetes care template, and referral to community programs, on the completeness of care for patients with diabetes and multimorbidity at Nurse Practitioner-Led Clinics. Methods An audit of 30 charts was conducted at five different Nurse Practitioner-Led Clinics (n = 150) for patients with diabetes and at least one other chronic condition. Indicators included patient and organizational characteristics as well as diabetes care items taken from diabetes clinical guidelines. Results Overall, care for patients with diabetes and multimorbidity in Nurse Practitioner-Led Clinics was complete. However, there were no significant associations between patient or organizational characteristics and the extent to which diabetes care was complete.
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| http://dx.doi.org/10.1177/0844562117744137 | DOI Listing |
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