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Evaluating the effectiveness of a nu...

Greene, Jamie.

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Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting./
作者:	Greene, Jamie.
面頁冊數:	336 p.
附註:	Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
Contained By:	Dissertation Abstracts International75-10A(E).
標題:	Sociology, Public and Social Welfare. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3624365
ISBN:	9781303976520

Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting.
Greene, Jamie.

Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting. - 336 p.

Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.

Thesis (Ph.D.)--University of Maryland, Baltimore County, 2014.

The current research considered the effectiveness of ambulatory nursing care clinics (NCCs) in managing patients 65 years and older with diabetes mellitus. In this quasi-experimental design, patients with diabetes in ten facilities received care management in nursing care clinics. Patients in the comparison group received standard physician-based care in the remaining 24 facilities. The hypotheses were that the patients in nursing care clinics would have lower physiologic measures, lower utilization rates, and higher rates of preventive screening than patients in the comparison group.

ISBN: 9781303976520Subjects--Topical Terms:

1017909
Sociology, Public and Social Welfare.

Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting.
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245 1 0 $a Evaluating the effectiveness of a nursing care clinic model in the ambulatory setting.
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500 $a Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
500 $a Adviser: Nancy Miller.
502 $a Thesis (Ph.D.)--University of Maryland, Baltimore County, 2014.
520 $a The current research considered the effectiveness of ambulatory nursing care clinics (NCCs) in managing patients 65 years and older with diabetes mellitus. In this quasi-experimental design, patients with diabetes in ten facilities received care management in nursing care clinics. Patients in the comparison group received standard physician-based care in the remaining 24 facilities. The hypotheses were that the patients in nursing care clinics would have lower physiologic measures, lower utilization rates, and higher rates of preventive screening than patients in the comparison group.
520 $a Analysis for the utilization and physiologic measures was conducted using a difference-in-differences design with ordinary least squares regression including adjustments for serial correlation, intraclass correlation, and individual fixed effects. Survival analysis was used to analyze mortality and disenrollment rates.
520 $a Although some statistically significant estimated effects of the NCCs on the outcome measures were observed, the estimated effects were small and not clinically meaningful. The conclusion was that the NCCs do not impact utilization, physiologic, and process measures related to diabetes management.
520 $a The study was limited by the three-year study period, the length of the time the clinics had been operational. Additional time may be necessary to see significant changes in physiologic and utilization measures as indicators of effective disease management in nursing care clinics. Although this study was focused on clinical quality measures, additional measures of success may be the cost-benefit of nursing care clinics, patient satisfaction, and staff satisfaction.
520 $a The policy implication of the study is that national entities should support further research into the effectiveness of ambulatory nursing care models through a variety of funding opportunities. State entities can explore ambulatory scope of practice regulatory standardization and the impacts of such changes on healthcare quality measures.
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