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Related Experiment Videos

Organizing community nursing: an exploratory study.

R. Tinsley1, M. Luck

  • 1Aston Business School, Aston University, Birmingham, UK.

Health & Social Care in the Community
|September 19, 2001
PubMed
Summary

Organizing community nursing around general practice (GP) offers some benefits, but GPs managing multiple roles can hinder integrated primary health care. The NHS should explore alternative organizational models.

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Area of Science:

  • Health Services Research
  • Primary Care Management
  • Nursing Organization

Background:

  • The 1990s National Health Service (NHS) emphasized primary care, increasing pressure on general practitioners (GPs) and community nurses for cost-effective, high-quality care.
  • Organizational restructuring within the NHS led to a trend of centering community nursing services around general practice.

Purpose of the Study:

  • To evaluate the impact of different organizational models for community nursing services.
  • To assess the effects of basing, purchasing, provision, and management strategies on primary health care delivery.

Main Methods:

  • Evaluation of six innovative pilot projects within the NHS.
  • Analysis of organizational choices concerning community nursing services.

Main Results:

  • Basing community nurses within general practices showed particular advantages.
  • GPs adopting multiple roles (manager, provider, purchaser) conflicted with integrated primary health care team development.
  • The multifaceted GP role was detrimental to the nursing function.

Conclusions:

  • While GP-centered models have some benefits, they can inhibit integrated primary health care.
  • The NHS needs to investigate alternative organizational configurations that are less GP-dependent.

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