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Related Experiment Videos

Nurse case management and general practice: implications for GP consortia.

Steve Iliffe¹, Vari Drennan, Jill Manthorpe

¹Department of Primary Care and Population Studies, University College London. s.iliffe@ucl.ac.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners

|December 14, 2011

Summary

General practitioners (GPs) expressed skepticism regarding the effectiveness of nurse case managers, including community matrons, in reducing hospital admissions. Their perceptions were influenced by existing community nursing quality and potential disruptions to established practices.

Related Experiment Videos

Area of Science:

Healthcare Management
Nursing Practice
Health Services Research

Background:

Case management is promoted for care continuity and resource efficiency.
Community matrons are specialists for complex patient case management.

Purpose of the Study:

To explore General Practitioners' (GPs) and NHS managers' perceptions of nurse case managers.
To understand the impact of community matrons on healthcare delivery.

Main Methods:

Conducted semi-structured interviews with 41 community nurse managers, 12 nurse case managers, 12 GPs, and 5 NHS managers.
Utilized telephone and face-to-face interviews across diverse English and Welsh health authorities.

Main Results:

GPs were skeptical about nurse case managers reducing hospital admissions.
Community matrons were perceived as imposed, potentially disrupting local health services.
Attitudes were shaped by perceived quality of community nursing and potential for hospital use reduction.

Conclusions:

Introduction of case management and community matrons may disrupt existing practices and be perceived negatively.
Potential resistance to changes in nursing roles and skill mix should be considered by commissioners.
Promoting innovation requires minimizing disruption to established healthcare communities of practice.