Nurse led versus lay educators support for those with asthma in primary care: a costing study

Autor: Roberts, N.J., Boyd, K., Briggs, A.H., Caress, A.L., Partridge, M.R.
Jazyk: angličtina
Rok vydání: 2012
Předmět:
ISSN: 1471-2466
Popis: Background - Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses.\ud \ud Methods - Following the RCT, a costing study was undertaken using the trial data to account for the cost of delivery of the service under both strategies and the resulting impact on unscheduled healthcare (measure of effectiveness) in this trial.\ud \ud Results - One year data (n = 418) showed that 29% (61/205) of the nurse group required unscheduled healthcare (177 events) compared with 30.5% (65/213) for lay-trainers (178 events).\ud \ud The training costs for the lay-trainers were greater than nurses (£36 versus £18 respectively per patient, p\ud \ud Conclusions - There were no significant differences in the cost of training and healthcare delivery between nurse and lay trainers, and no significant difference in the cost of unscheduled health care use.
Databáze: OpenAIRE