Unscheduled care for people with asthma in a multi-ethnic area is reduced following educational outreach programme by specialist nurses - 24/08/11
Do asthma specialist nurses reduce health service use and improve outcomes across different ethnic groups?
Cluster randomised controlled trial.
Specialist nurse intervention reduced the percentage of participants attending unscheduled care in the subsequent year compared with usual care (adjusted odds ratio with clustering 0.61, 95% CI 0.38 to 0.99). First attendance for unscheduled asthma care in the same time period was delayed by specialist nurse intervention (hazard ratio [HR] 0.73, 95% CI 0.54 to 1.00). The effect of specialist nurse intervention on time to attendance was greater in white people (HR 0.57, 95% CI 0.38 to 0.85) compared with South Asian people (HR 0.72, 95% CI 0.48 to 1.09) or other ethnicities (HR 1.29, 95% CI 0.51 to 3.22). There were no significant difference in mean rates of hospital admission between groups.
Unscheduled care for people with asthma was reduced in practices where asthma specialist nurses provided an educational outreach and clinical support programme to staff. Improved outcomes were not equally distributed among ethnic groups.Le texte complet de cet article est disponible en PDF.
Keywords : Asthma, Nursing, Family practice, Randomised controlled trial
| Abstracted from: Griffiths C, Foster G, Barnes N et al. Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA). BMJ 2004; 328: 144–147.
Vol 8 - N° 4P. 190-191 - août 2004 Retour au numéro
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