prescription with ongoing GP, followed by monthly 6. General Practice 9. Significant improvements in 6-month face-to-face 14. This intervention could support in general practice” telephone support for 3 physical activity were found at nurse follow-up be set up in areas other (p.1223) months delivered by 7. Primary care nurses 12 and 24 months (p<0.01); no contribute to higher than general practice. regional sports trusts. significant difference in indirect percentage of Implementation of this costs between both groups (12 participants who were intervention would also 3. Ten mins of brief advice; months: rate ratios: 0.99(95% active at 12 months. increase if it was applied written exercise CI 0.81 to 1.2) and ( 24months: systematically to daily prescription given by a rate ratio: 1.01 (95% CI 0.83 to 12. NR. practice, with routine primary healthcare nurse; 1.23, p=0.9); Cost–effectiveness screening; delivery; and telephone support for 9 ratios using programme costs follow-up. months from an exercise were NZ$687 (€331) per facilitator; half-hour person made ‘active’ and session with the sustained - 12 months; nurse at 6 months. Goal NZ$1407 (€678) per person was at least 30 min of made ‘active’ and sustained - 24 moderate-intensity months. physical activity five times per week. Gibson et al (2013). 1. NR. 4. Patients with chronic 8. NR 10. NR. 13. This study is illness of type 2 diabetes. inconclusive with regards Australia. 2. NR 9. NR 11. NR. to its outcomes. The 5. Type 2 diabetes. impression from this body Syst rev. 10 studies 3. NR 12. NR. of work is that access to included 6. Primary Health Care. primary care (as distinct from use – which will be Association between 7. Practice Nurse part of the highly confounded by chronic disease type 2 primary health care team health status) is probably diabetes related including GP. associated with a reduced hospitalisations and rate of hospitalisation for primary health care diabetes-related ACSC. resourcing. 14. “Collectively, study findings must still be considered inconclusive, and the relationship between PHC resourcing and hospitalisation for diabetes-related ACSC remains uncertain. Thus
prescription with ongoing support in general practice” (p.1223) GP, followed by monthly telephone support for 3 months delivered by regional sports trusts. 3. Ten mins of brief advice; written exercise prescription given by a primary healthcare nurse; telephone support for 9 months from an exercise facilitator; half-hour session with the nurse at 6 months. Goal was at least 30 min of moderate-intensity physical activity five times per week. 6. General Practice 7. Primary care nurses 9. Significant improvements in physical activity were found at 12 and 24 months (p<0.01); no significant difference in indirect costs between both groups (12 months: rate ratios: 0.99(95% CI 0.81 to 1.2) and ( 24months: rate ratio: 1.01 (95% CI 0.83 to 1.23, p=0.9); Cost–effectiveness ratios using programme costs were NZ$687 (€331) per person made ‘active’ and sustained - 12 months; NZ$1407 (€678) per person made ‘active’ and sustained - 24 months. 6-month face-to-face nurse follow-up contribute to higher percentage of participants who were active at 12 months. 12. NR. 14. This intervention could be set up in areas other than general practice. Implementation of this intervention would also increase if it was applied systematically to daily practice, with routine screening; delivery; and follow-up. Gibson et al (2013). Australia. Syst rev. 10 studies included Association between chronic disease type 2 diabetes related hospitalisations and primary health care resourcing. 1. NR. 2. NR 3. NR 4. Patients with chronic illness of type 2 diabetes. 5. Type 2 diabetes. 6. Primary Health Care. 7. Practice Nurse part of the primary health care team including GP. 8. NR 9. NR 10. NR. 11. NR. 12. NR. 13. This study is inconclusive with regards to its outcomes. The impression from this body of work is that access to primary care (as distinct from use – which will be highly confounded by health status) is probably associated with a reduced rate of hospitalisation for diabetes-related ACSC. 14. “Collectively, study findings must still be considered inconclusive, and the relationship between PHC resourcing and hospitalisation for diabetes-related ACSC remains uncertain. Thus
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