Patient satisfaction with chronic HIV care provided through an innovative pharmacist/nurse-managed clinic and a multidisciplinary clinic

Kielly, Jason; Kelly, Deborah; Asghari, Shabnam; Burt, K.; Biggin, Jessica

doi:10.1177/1715163517734236

Cited by 9 publications

(8 citation statements)

References 8 publications

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“…As a result, nurses tend to act as the organizers, planners, and implementers in the rehabilitation of patients. Some studies suggested that a nurse-led MDT may be able to guarantee a fixed leader, enhance the tightness of the team, and play a coordinating role in the transitional care process of standardization and implementation [18,19]. Therefore, this study intended to develop a nurse-led MDT model in AS transitional care and to assess its effects on clinical outcomes and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Effects of Multidisciplinary Team-Based Nurse-led Transitional Care on Clinical Outcomes and Quality of Life in Patients With Ankylosing Spondylitis

Liu

Pan

et al. 2019

Asian Nursing Research

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The purpose of this study is to investigate the impact of transitional care by a nurse-led multidisciplinary team (MDT) on clinical outcomes and quality of life of patients with ankylosing spondylitis. Methods: A randomized control study design was used. Subjects were allocated randomly to an experimental group and a control group. The experimental group received intensive transitional care by a nurse-led MDT, whereas the control group received routine nursing care. Disease activity, spinal mobility, comprehensive function, health service utilization, and quality of life were assessed at the baseline and at six months with the Bath Ankylosing Spondylitis Metrology Index, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), a health service utilization questionnaire and version 2 of the Short Form-36 health survey. Results: Compared with the baseline, the BASDAI, BASFI, emergency visits, hospitalizations, hospitalization days, and bodily pain, vitality, mental health, total score, and average score of version 2 of the Short Form-36 health survey were improved in the experimental group (p < .05), whereas only bodily pain, vitality, and role-emotional were improved in the control group (p < .05). At six months, the experimental group exhibited significantly more improvement on the BASDAI, BASFI, hospitalizations, all domains except Role-physical as well as total score and average score (p < .05) compared with the control group. Conclusion: A MDT-based nurse-led transitional care improves clinical outcomes and quality of life of patients with ankylosing spondylitis. Future research should be carried out on modes of follow-up and family support.

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Section: Introductionmentioning

confidence: 99%

Effects of Multidisciplinary Team-Based Nurse-led Transitional Care on Clinical Outcomes and Quality of Life in Patients With Ankylosing Spondylitis

Liu

Pan

et al. 2019

Asian Nursing Research

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“…The findings of high patient satisfaction appear to be consistent across disciplines with comparable results reported in multidisciplinary HIV, pediatric allergy, rheumatic disease, interstitial lung disease, and gender dysphoria clinics. 20-23…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction and Efficiency Benefits of a Novel Multidisciplinary Rhinology and Allergy Clinic

Fang

Ferastraoaru

et al. 2020

Ann Otol Rhinol Laryngol

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Background: Chronic rhinosinusitis (CRS) is a chronic inflammatory disease of the sinonasal mucosa and with strong associations to other immune-mediated comorbidities. Patients often require referral to both an otolaryngologist and an allergist/immunologist. This study is the first in the literature to describe a multidisciplinary clinic that offers patient care by subspecialists in rhinology and in allergy/immunology. Methods: One hundred twenty-nine patients were seen in the Comprehensive Sinus and Allergy Clinic (CSAC) between January 2016 and June 2017 and 43 selected patients were seen in both the standalone allergy and rhinology clinics over the same time period. Patient satisfaction was retrospectively assessed using a modified Press-Ganey satisfaction survey. Time to evaluation and time to follow up appointment were compared between the CSAC and both the standalone rhinology and allergy/immunology clinics. Results: Patients seen in the CSAC reported high satisfaction with the amount of time spent with the physicians (98.3%), quality of medical care (9.3 ± 1.0), and most importantly, the convenience of seeing two physicians in one day (9.5 ± 1.2). Time from referral placement to clinic evaluation ( P ≤ .02) and time to follow up appointment ( P ≤ .002) was significantly shorter for the CSAC than for the standalone Rhinology or Allergy clinics. Conclusion: Patients reported high satisfaction with the medical care provided and were also seen much faster in our multidisciplinary clinic as compared to standalone rhinology or allergy/immunology clinics. Overall, a multidisciplinary approach may be beneficial to patients presenting to tertiary referral centers with CRS and atopic conditions.

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“…The provincial HIV Clinic is located in St. John's, NL, and provides specialized medical services to PLHIV in the province. The HIV clinic consists of a multidisciplinary team including a physician (infectious disease specialist/internist), nurse practitioner, a social worker and pharmacist who provide care to PLHIV throughout NL, and see each patient approximately every 6-12 months [13]. At the time of this study, the clinic had manual charts including individual-level medication and healthcare information for PLHIV who receive healthcare services via the clinic.…”

Section: Hiv Clinic Datamentioning

confidence: 99%

“…In Newfoundland and Labrador, PL-HIV primarily receive both specialist and primary care through an interdisciplinary HIV specialty clinic. More recently, some have questioned whether specialists are appropriately addressing the primary care needs of PLHIV [10][11][12][13]. Adding family physicians to the continuum of care has the potential to greatly impact the health outcomes and quality of life of PL-HIV given the level of care required to effectively manage the other chronic conditions they experience [11,12].…”

Section: Introductionmentioning

confidence: 99%

Developing a comprehensive database with sensitive health information: A profile of people living with HIV in Newfoundland and Labrador, Canada

Asghari

Boyd

Knight

et al. 2020

IJPDS

Self Cite

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IntroductionDeveloping a comprehensive cohort of people living with HIV (PLHIV) to help improve healthcare has long been the vision of researchers, clinicians and decision makers. The development of this kind of database is challenging and requires strict adherence to privacy and confidentiality policies. We explored procedures, activities and events in database development. ObjectivesTo understand processes of developing a database with sensitive health information in Newfoundland and Labrador (NL), and to investigate procedures and activities to develop the database within its environmental context. MethodsA narrative case study was used to explain the challenges and procedures involved in developing a database for our population. The development of the PLHIV cohort in NL is provided as an example to demonstrate the complexity of the process. We linked three datasets that included patient-level data for PLHIV: 1. laboratory data; 2. HIV clinic data; 3. health administrative data, which allowed for the creation of a large database containing many variables describing the PLHIV cohort in the province. ResultsWe developed a de-identified cohort of 251 PLHIV that contained 178 variables. Our case study showed database development is an iterative process. The main challenges were ensuring patient privacy and data confidentiality are not compromised and working with multi-custodian data. These challenges were addressed by establishing a data governance team. ConclusionsIt is important that policy be implemented to merge siloed data sources in order to provide researchers with accurate and complete data that is required to conduct sound and precise research with maximum benefits for treatment and policy-making to improve health outcomes.

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Patient satisfaction with chronic HIV care provided through an innovative pharmacist/nurse-managed clinic and a multidisciplinary clinic

Abstract: Patients are satisfied with both clinics, supporting NPC as an innovative model for chronic HIV care. Comparison of outcomes between clinics is needed to ensure high-quality care.

Cited by 9 publications

References 8 publications

Effects of Multidisciplinary Team-Based Nurse-led Transitional Care on Clinical Outcomes and Quality of Life in Patients With Ankylosing Spondylitis

Effects of Multidisciplinary Team-Based Nurse-led Transitional Care on Clinical Outcomes and Quality of Life in Patients With Ankylosing Spondylitis

Patient Satisfaction and Efficiency Benefits of a Novel Multidisciplinary Rhinology and Allergy Clinic

Developing a comprehensive database with sensitive health information: A profile of people living with HIV in Newfoundland and Labrador, Canada

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