作者: G. R. Pishdad , R. Pishdad , P. Pishdad
DOI: 10.1111/J.1742-1241.2008.01752.X
关键词: Private practice 、 Hba1c level 、 Community health 、 Ldl cholesterol 、 Diabetes mellitus 、 Medicine 、 Serum triglycerides 、 Usual care 、 Physical therapy 、 Internal medicine 、 Diabetes clinic
摘要: Summary Aims: Specially trained nurses who follow detailed protocols and algorithms under the supervision of a diabetologist can markedly improve diabetes outcomes in community health centres. We aimed to study impact nurse-assisted care (NADC) model on clinic’s financial private practice setting. Methods: Nurse-assisted was provided diabetic patients referring Monday clinic Shiraz. 107 had received such were hierarchically matched with receiving usual endocrinologist same during rest week. At end 6 months follow-up, [glycosylated haemoglobin (HbA1c), serum triglycerides, low-density lipoprotein (LDL) cholesterol, duration patient’s visit net income] for NADC compared those also derived from before NADC. Results: Under NADC, HbA1c levels more significant fall (p 1.69 mmol/l (150 mg/dl) LDL cholesterol > 2.58 mmol/l (100 mg/dl) (both p < 0.05), time one decreased by an average 9.3 min (p = 0.000) while income increased 21.25%. Conclusion: care, improving significantly, spares physician allows be seen per hours. The excess extra visits much outweighs expenditures including nurses’ wages. is profitable clinics or offices.