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Volume 17 - November 2016

Contents

Page 4 of 4

Short Report

  • Quantification of diabetes consultations by the main primary health care nurse groups in Auckland, New Zealand

  • Barbara Daly, Bruce Arroll, Nicolette Sheridan, Timothy Kenealy, Robert Scragg
  • Published online by Cambridge University Press:
    08 January 2016, pp. 524-529
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  • Background: Diabetes prevalence continues to increase, with most diabetes patients managed in primary care. Aim: This report quantifies the number of diabetes consultations undertaken by primary healthcare nurses in Auckland, New Zealand. Methods: Of 335 primary healthcare nurses randomly selected, 287 (86%) completed a telephone interview in 2006–2008. Findings: On a randomly sampled day (from the past seven) for each nurse, 42% of the nurses surveyed (n=120) consulted 308 diabetes patients. From the proportion of nurses sampled in the study, it is calculated that the number of diabetes patients consulted by primary healthcare nurses per week in Auckland between September 2006 and February 2008 was 4210, with 61% consulted by practice, 23% by specialist and 16% by district nurses. These findings show that practice nurses carry out the largest number of community diabetes consultations by nurses. Their major contribution needs to be incorporated into future planning of the community management of diabetes.

Short report

  • Pediatrician preferences, local resources, and economic factors influence referral to a subspecialty access clinic

  • Matthew D. Di Guglielmo, Jay S. Greenspan, Diane J. Abatemarco
  • Published online by Cambridge University Press:
    17 May 2016, pp. 628-635
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  • Background

    Pediatric patients seek timely access to subspecialty care within a complex delivery system while facing barriers: distance, economics, and clinician shortages.

    Aim

    We examined stakeholder perceptions about solutions to the access challenge. We engaged over 300 referring primary care pediatricians in the evaluation of Access Clinics at an academic children’s hospital.

    Methods

    Using an anonymous online survey, we asked pediatricians about their and their patients’ experiences and analyzed factors that may influence referrals.

    Findings

    Referring pediatricians reported satisfaction; they provided feedback about their patients’ experiences, physician communication, and referral influences. Distance from the Access Clinic does not correlate with differences in referral volume; living in areas with higher child populations and higher median income is associated with more referrals. Referring pediatricians have strong opinions about referrals, are attuned to patient experiences, and desire bi-directional communication. Multiple factors influence referral to and acceptance of Access Clinics, but external influences have less impact than expected.

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