Dr Nicola Jane Roberts N.Roberts@napier.ac.uk
Associate Professor
Nurse led versus lay educators support for those with asthma in primary care: a costing study
Roberts, Nicola J.; Boyd, Kathleen A.; Briggs, Andrew H.; Caress, Ann L.; Partridge, Martyn R.
Authors
Kathleen A. Boyd
Andrew H. Briggs
Ann L. Caress
Martyn R. Partridge
Abstract
Background
Regular review and support for asthma self-management is promoted in guidelines. A randomised controlled trial suggested that unscheduled health care usage was similar when patients were offered self management support by a lay-trainer or practice nurses.
Methods
Following the RCT, a costing study was undertaken using the trial data to account for the cost of delivery of the service under both strategies and the resulting impact on unscheduled healthcare (measure of effectiveness) in this trial.
Results
One year data (n = 418) showed that 29% (61/205) of the nurse group required unscheduled healthcare (177 events) compared with 30.5% (65/213) for lay-trainers (178 events).
The training costs for the lay-trainers were greater than nurses (£36 versus £18 respectively per patient, p<0.001), however, the consultation cost for lay-trainers were lower than nurses (£6 per patient versus £24, p<0.001). If the cost of unscheduled healthcare are accounted for then the costs of nurses is £161, and £135 for lay-trainers (mean difference £25, [95% CI = −£97, £149, p = 0.681]). The total costs (delivery and unscheduled healthcare) were £202 per patient for nurses versus £178 for lay-trainers, (mean difference £24, [95%CI = −£100, £147, p = 0.707]).
Conclusions
There were no significant differences in the cost of training and healthcare delivery between nurse and lay trainers, and no significant difference in the cost of unscheduled health care use.
Citation
Roberts, N. J., Boyd, K. A., Briggs, A. H., Caress, A. L., & Partridge, M. R. (2012). Nurse led versus lay educators support for those with asthma in primary care: a costing study. BMC Pulmonary Medicine, 12(1), Article 52. https://doi.org/10.1186/1471-2466-12-52
Journal Article Type | Article |
---|---|
Acceptance Date | Aug 22, 2012 |
Online Publication Date | Sep 8, 2012 |
Publication Date | 2012 |
Deposit Date | Aug 30, 2022 |
Publicly Available Date | Jun 28, 2023 |
Journal | BMC Pulmonary Medicine |
Publisher | BMC |
Peer Reviewed | Peer Reviewed |
Volume | 12 |
Issue | 1 |
Article Number | 52 |
DOI | https://doi.org/10.1186/1471-2466-12-52 |
Keywords | Asthma, Telephone Consultation, Healthcare Utilisation, Practice Nurse, Scenario Analysis |
Public URL | http://researchrepository.napier.ac.uk/Output/2899589 |
Files
Nurse led versus lay educators support for those with asthma in primary care: a costing study
(329 Kb)
PDF
Publisher Licence URL
http://creativecommons.org/licenses/by/2.0/
You might also like
British Thoracic Society Clinical Statement on pulmonary rehabilitation
(2023)
Journal Article
Downloadable Citations
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search