TY - JOUR
T1 - An integrated care pathway for menorrhagia across the primary–secondary interface: patients’ experience, clinical outcomes, and service utilisation
AU - Julian, S.
AU - Naftalin, N. J.
AU - Clark, M.
AU - Szczepura, Ala
AU - Rashid, A.
AU - Baker, R.
AU - Taub, N.
AU - Habiba, M.
N1 - The full text is available from: http://qualitysafety.bmj.com/content/16/2/110.full.pdf+html
PY - 2007/4/2
Y1 - 2007/4/2
N2 - Background: “Referral” characterises a significant area of interaction between primary and secondary care. Despite advantages, it can be inflexible, and may lead to duplication.
Objective: To examine the outcomes of an integrated model that lends weight to general practitioner (GP)-led evidence based care.
Design: A prospective, non-random comparison of two services: women attending the new (Bridges) pathway compared with those attending a consultant-led one-stop menstrual clinic (OSMC). Patients’ views were examined using patient career diaries, health and clinical outcomes, and resource utilisation. Follow-up was for 8 months.
Setting: A large teaching hospital and general practices within one primary care trust (PCT).
Results: Between March 2002 and June 2004, 99 women in the Bridges pathway were compared with 94 women referred to the OSMC by GPs from non-participating PCTs. The patient career diary demonstrated a significant improvement in the Bridges group for patient information, fitting in at the point of arrangements made for the patient to attend hospital (ease of access) (p
AB - Background: “Referral” characterises a significant area of interaction between primary and secondary care. Despite advantages, it can be inflexible, and may lead to duplication.
Objective: To examine the outcomes of an integrated model that lends weight to general practitioner (GP)-led evidence based care.
Design: A prospective, non-random comparison of two services: women attending the new (Bridges) pathway compared with those attending a consultant-led one-stop menstrual clinic (OSMC). Patients’ views were examined using patient career diaries, health and clinical outcomes, and resource utilisation. Follow-up was for 8 months.
Setting: A large teaching hospital and general practices within one primary care trust (PCT).
Results: Between March 2002 and June 2004, 99 women in the Bridges pathway were compared with 94 women referred to the OSMC by GPs from non-participating PCTs. The patient career diary demonstrated a significant improvement in the Bridges group for patient information, fitting in at the point of arrangements made for the patient to attend hospital (ease of access) (p
UR - http://www.scopus.com/inward/record.url?eid=2-s2.0-34247108604&partnerID=MN8TOARS
U2 - 10.1136/qshc.2005.016782
DO - 10.1136/qshc.2005.016782
M3 - Article
SN - 1470-7934
SN - 1475-3898
SN - 1475-3901
VL - 16
SP - 110
EP - 115
JO - Quality and Safety in Health Care
JF - Quality and Safety in Health Care
IS - 2
ER -