{"title":"在多民族地区，通过专科护士的教育推广方案，减少了对哮喘患者的计划外护理","authors":"Arvid W.A Kamps MD, PhD (Commentary Author)","doi":"10.1016/j.ehbc.2004.05.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Question</h3><p>Do asthma specialist nurses reduce health service use and improve outcomes across different ethnic groups?</p></div><div><h3>Study design</h3><p>Cluster randomised controlled trial.</p></div><div><h3>Main results</h3><p>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.</p></div><div><h3>Authors’ conclusions</h3><p>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.</p></div>","PeriodicalId":100512,"journal":{"name":"Evidence-based Healthcare","volume":"8 4","pages":"Pages 190-191"},"PeriodicalIF":0.0000,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.05.017","citationCount":"4","resultStr":"{\"title\":\"Unscheduled care for people with asthma in a multi-ethnic area is reduced following educational outreach programme by specialist nurses\",\"authors\":\"Arvid W.A Kamps MD, PhD (Commentary Author)\",\"doi\":\"10.1016/j.ehbc.2004.05.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Question</h3><p>Do asthma specialist nurses reduce health service use and improve outcomes across different ethnic groups?</p></div><div><h3>Study design</h3><p>Cluster randomised controlled trial.</p></div><div><h3>Main results</h3><p>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.</p></div><div><h3>Authors’ conclusions</h3><p>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.</p></div>\",\"PeriodicalId\":100512,\"journal\":{\"name\":\"Evidence-based Healthcare\",\"volume\":\"8 4\",\"pages\":\"Pages 190-191\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2004-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ehbc.2004.05.017\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evidence-based Healthcare\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S146294100400097X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence-based Healthcare","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S146294100400097X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Unscheduled care for people with asthma in a multi-ethnic area is reduced following educational outreach programme by specialist nurses
Question
Do asthma specialist nurses reduce health service use and improve outcomes across different ethnic groups?
Study design
Cluster randomised controlled trial.
Main results
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.
Authors’ conclusions
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.
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