Evaluation of the primary/secondary care interface in relation to a primary care rheumatology service
Critchley, S and Ball, E 2007, 'Evaluation of the primary/secondary care interface in relation to a primary care rheumatology service' , Quality in Primary Care, 15 (1) , pp. 33-36.
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Objective The rheumatology department at The Royal Oldham Hospital developed a primary care service aimed at bridging the gap between primary and secondary care for patients with potential rheumatological conditions, and this was given the name rheumatology Tier 2. The objective of this study was to evaluate this primary care rheumatology service (Tier 2)in order to assess its validity, patient satisfaction and effectiveness. Design Ten patients participated in individual semi-structured interviews. Three GPs were interviewed individually, and two GPs formed a focus group. Thematic analysis was used to interpret the findings. Setting Patients were recruited from seven consecutive rheumatology Tier 2 clinics. GPs were recruited from Oldham Primary Care Trust (PCT) as this was the main source of patient referrals for the service. Results The key findings were in relation to the integration of primary healthcare and hospital services, i.e. the primary/secondary care interface. This highlighted the importance of early assessment, diagnosis and treatment of patients with suspected inflammatory arthritis. Conclusion Early diagnosis and treatment with disease-modifying anti-rheumatic drugs improves patients’ outcomes. The rheumatology Tier 2 service built on this evidence and provided a rapid assessment and referral to secondary care for those patients with suspected inflammatory arthritis.
|Uncontrolled Keywords:||primary care development, primary/ secondary care interface, rheumatology, Tier 2 service|
|Themes:||Subjects / Themes > R Medicine > RT Nursing|
Health and Wellbeing
|Schools:||Colleges and Schools > College of Health & Social Care|
Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery & Social Work
|Journal or Publication Title:||Quality in Primary Care|
|Depositing User:||Dr Elaine Ball|
|Date Deposited:||21 Jul 2010 14:44|
|Last Modified:||27 Sep 2011 11:42|
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