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dc.contributor.authorAllen, Claire
dc.date.accessioned2020-05-21T21:33:10Z
dc.date.available2020-05-21T21:33:10Z
dc.date.issued2020-05-15
dc.identifier.urihttps://www.evidenceaid.org/contribution-of-community-based-nurse-led-clinics-to-health-care-access-and-patient-outcomes/en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12663/1585
dc.description.abstractWhat is this? The COVID-19 pandemic is placing a strain on healthcare services. Community-based nurse-led clinics (NLC) may help increase patient access whilst maintaining quality of care. In this systematic review, the authors searched for research literature related to community based NLCs. They did not restrict by type of publication and included peer-reviewed studies based in primary or community care settings, published in English between 2006 and 2016. They identified 15 studies (8 quantitative, including two randomised studies, 5 qualitative, and 3 mixed methods studies) including 3965 participants, which examined one or more of the following: patient outcomes, satisfaction, access and cost effectiveness. What was found: There were high levels of patient satisfaction with NLCs. NLCs improve patient access to care as a result of community-based case management. Most of the studies reviewed showed general improvement in various aspects of patient health. Behavioural changes such as secondary health promotion and preventative practices (sex education leading to safer sex practices, and smoking cessation) were noted with NLCs. Improvement in objective clinical outcomes such as ulcer healing time, improved body mass index in obese children, improved immunisation and management of upper respiratory tract infection was noted following services provided by NLCs. There were mixed results for cost-effectiveness. There is some evidence that NLCs are cost-equivalent or cheaper than standard doctor-led services and can be cost-effective in terms of reduced hospital utilisation and readmission.en_US
dc.languageEnglishen_US
dc.subjectCOVID-19en_US
dc.subjectCoronavirusen_US
dc.subjectInfectious Diseasesen_US
dc.subjectNursesen_US
dc.subjectDelivery of Health Careen_US
dc.subjectPatientsen_US
dc.subjectPatient Careen_US
dc.titleContribution of community-based nurse-led clinics to health care access and patient outcomesen_US
eihealth.countryOthersen_US
eihealth.categoryInfection prevention and control, including health care workers protectionen_US
eihealth.categoryPublic Health Interventionsen_US
eihealth.typePublished Articleen_US
eihealth.maincategorySlow Spread / Reducir la Dispersiónen_US
dc.relation.ispartofjournalEvidence Aiden_US


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