Shared Visits for Health Care Consumers in a Rural Free Clinic Setting

Online Journal of Rural Nursing and Health Care

Patricia Calico^3¹  Terry Casey^1²  Audrey Powell^2³ 

[1] Consultant Stanford, KY^3;Family Health Centers of Louisville, KY^1;Retired^2

关键词: Advanced Practice Registered Nurses;    Chronic Disease;    Diabetes Mellitus;    Type 2;    Primary Health Care;    Rural Health;    Self-care;   

DOI  :  10.14574/ojrnhc.v18i1.457

学科分类：医学（综合）

来源: Binghamton University * Decker School of Nursing

【 摘 要 】

Background: One of every four adults in the United States lives with two or more chronic diseases. Current care delivery models may not adequately address diabetes or hypertension management challenges. Shared visits may provide more efficient chronic illness care. Purpose: The purpose of this advanced practice registered nurse-led study was to conduct a pilot program to test the effectiveness of shared visits for low-income, uninsured, rural health care consumers who have uncontrolled chronic type II diabetes or hypertension and who receive care at a rural free clinic. Methods: A convenience sample of two groups of adults with diabetes and one group with hypertension engaged in shared health care visits that included shared education and discussion. Data were analyzed using descriptive and inferential statistics. Findings: Fifty-three percent of diabetes participants had reduced hemoglobin A1c. A statistically significant difference in systolic blood pressure (p = 0.01) was found for the hypertension group. Seventy-eight percent of participants had lower diastolic pressure. Conclusion: Shared visits show good potential for better self-management and improved outcomes among rural, low-income, uninsured health care consumers who have uncontrolled chronic type II diabetes or hypertension.

【 授权许可】

CC BY-NC