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Annual review for housebound patients with coronary heart disease

Julie Ellen1, Marie Barrett

  • 1Faculty of Health and Social Care, Liverpool John Moores University, Liverpool.

British Journal of Nursing (Mark Allen Publishing)
|November 8, 2012
PubMed

Insights

This pilot project provided annual home reviews for housebound patients with coronary heart disease (CHD). It demonstrated the need for expanded services to ensure equitable care for all long-term condition patients.

Area of Science:

  • Public Health
  • Nursing
  • Cardiology

Background:

  • Long-term condition management is an NHS priority, yet housebound patients lack adequate services.
  • Coronary heart disease (CHD) is a leading cause of death and significant economic burden in the UK.
  • Existing primary care strategies often exclude housebound individuals.

Purpose of the Study:

  • To pilot a home-based annual review service for housebound patients with CHD.
  • To assess the feasibility and impact of delivering equitable care to housebound individuals.
  • To gather evidence supporting the expansion of this service to all housebound patients with long-term conditions.

Main Methods:

  • A nurse, under an honorary contract with a general practice, initiated a pilot project.
  • The service involved conducting annual condition reviews within the patients' homes.
  • Patient visit findings were documented and analyzed.

Main Results:

  • The pilot provided justification for expanding the service to a wider population.
  • Housebound patients received equitable assessment, treatment, and health promotion.
  • The project highlighted the importance of home-based care for chronic disease management.

Conclusions:

  • The pilot project supports the expansion of home-based annual reviews for housebound patients with long-term conditions.
  • Equitable healthcare access for housebound individuals is achievable through dedicated services.
  • Further expansion of this nursing-led initiative is recommended to address service gaps.

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