Efficacy of a student-led interprofessional health clinic in regional Australia for preventing and managing chronic disease.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-09-01 Epub Date: 2024-07-24 DOI:10.1080/13561820.2024.2380436
Adam Hulme, Bahram Sangelaji, Clara Walker, Tony Fallon, Joshua Denham, Priya Martin, Steve Woodruffe, Kate Bell, Michelle Aniftos, Jayne Kirkpatrick, Nicola Cotter, Dayle Osborn, Geoff Argus
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引用次数: 0

Abstract

Increasing chronic disease rates in regional Australian communities necessitates innovative models of healthcare. We evaluated the efficacy of an interprofessional chronic disease program, delivered within a regional student-led nursing and allied health clinic in Southern Queensland, Australia. Changes to anthropometric, aerobic fitness and strength, and quality of life outcomes were examined at four time points spanning 16 months: intake, program transition (4 months), 6 and 12 months (post-transition). Our primary aim was to investigate whether the health improvements achieved during the program were sustained at 12 months in a subset of participants who provided complete data. Significant improvements were found in 6 of 11 measures, including the 6-minute walk test, grip strength, and self-reported quality of life across physical and psychosocial dimensions, with these improvements maintained to final review. No significant changes were found in body mass index (BMI), waist circumference, fat mass, or muscle mass. This is the first health clinic in regional Australia to deliver a student-led model of interprofessional and collaborative service to tackle the increasing burden of chronic disease in the community. The cost-effectiveness of this service and other potential clinical and social benefits remain to be investigated.

澳大利亚地区以学生为主导的跨专业健康诊所在预防和管理慢性疾病方面的功效。
澳大利亚地区社区的慢性病发病率不断上升,需要创新的医疗保健模式。我们评估了一项跨专业慢性病计划的疗效,该计划是在澳大利亚南昆士兰由学生领导的地区护理和联合医疗诊所内实施的。我们在四个时间点对人体测量、有氧健身和力量以及生活质量结果的变化进行了研究,这四个时间点跨越了 16 个月:入院、项目过渡(4 个月)、6 个月和 12 个月(过渡后)。我们的主要目的是调查在提供完整数据的参与者中,在计划期间取得的健康改善在 12 个月后是否持续。在 11 项测量指标中,我们发现有 6 项指标有明显改善,包括 6 分钟步行测试、握力以及自我报告的身体和社会心理方面的生活质量。体重指数(BMI)、腰围、脂肪量或肌肉量均无明显变化。这是澳大利亚地区第一家提供以学生为主导的跨专业合作服务模式的健康诊所,旨在解决社区日益沉重的慢性病负担。这项服务的成本效益以及其他潜在的临床和社会效益仍有待研究。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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