To evaluate the nurse care to 6. 14 primary care settings. 14. NR. TEAMcare identify clinical goals and to Total intervention cost per compared with usual develop individualized care 7. Practice nurses. patient was $1224. primary care (UC) in plans. outpatients Over 24 months, intervention with depression and poorly 3. Nurses educated patients patients had a mean of 114 controlled or CHD. and used motivational (95% CI, 79 to149) additional interviewing, behavioral depression-free days and an activation and estimated 0.335 (95% CI, −0.18 solving strategies to help to 0.85) additional QALYs patients undertake specific compared with UC controls. self-care activities. Most participants had at least 4 Intervention patients also had visits and 3-4 telephone lower mean outpatient health contacts per month from costs of $594 per patient (95% the nurse. CI, −$3241 to $2053) relative to UC patients. UC participants consulted their primary care For adults with depression and provided for concerns poorly controlled diabetes, relating to depression CHD CHD, or both, the intervention or diabetes seemed to be a high-value program that markedly improved QALYs - mean cost saving of $1773 per QALY. 9. NR. Richardson et al. (2013). 1. NR. 4. Adults 18+ years 8. Costs (Private expenditures, 10. NR. 13. Evidence suggests that (n=296). costs of informal care and costs patients with CFS/ME are UK. 2. SL A non-directive of lost production at 08/09 11. Patients need to not satisfied with the care counseling approach. 5. CFS/ME for longer than 6 prices to NHS) and outcomes as believe in the received from primary care, Cost effectiveness + RCT months. measured by QALYs. HRQL intervention model and GPs find management PR involves nurses increased in all groups at Wk. presented in order to difficult. Suggesting To present a cost explaining symptoms in the 6. Primary Care. 20. Returned toward baseline engage fully. solutions should effectiveness analysis, context of a model of at Wk.70. be implemented is of comparing costs and Health illness, providing a 7. Adult Speciality General 12. NR. limited use if patients feel Related Quality of Life rationale for a Nurses working in Primary that this option is not (HRQoL), as measured by collaboratively developed acceptable.
To evaluate the TEAMcare compared with usual primary care (UC) in outpatients with depression and poorly controlled or CHD. nurse care to identify clinical goals and to develop individualized care plans. 3. Nurses educated patients and used motivational interviewing, behavioral activation and strategies to help patients undertake specific self-care activities. Most participants had at least 4 visits and 3-4 telephone contacts per month from the nurse. UC participants consulted their primary care provided for concerns relating to depression CHD or diabetes 6. 14 primary care settings. 7. Practice nurses. Total intervention cost per patient was $1224. Over 24 months, intervention patients had a mean of 114 (95% CI, 79 to149) additional depression-free days and an estimated 0.335 (95% CI, −0.18 to 0.85) additional QALYs compared with UC controls. Intervention patients also had lower mean outpatient health costs of $594 per patient (95% CI, −$3241 to $2053) relative to UC patients. For adults with depression and poorly controlled diabetes, CHD, or both, the intervention seemed to be a high-value program that markedly improved QALYs - mean cost saving of $1773 per QALY. 9. NR. 14. NR. Richardson et al. (2013). UK. Cost effectiveness + RCT To present a cost effectiveness analysis, comparing costs and Health Related Quality of Life (HRQoL), as measured by 1. NR. 2. SL A non-directive counseling approach. PR involves nurses explaining symptoms in the context of a model of illness, providing a rationale for a collaboratively developed 4. Adults 18+ years (n=296). 5. CFS/ME for longer than 6 months. 6. Primary Care. 7. Adult Speciality General Nurses working in Primary 8. Costs (Private expenditures, costs of informal care and costs of lost production at 08/09 prices to NHS) and outcomes as measured by QALYs. HRQL increased in all groups at Wk. 20. Returned toward baseline at Wk.70. 10. NR. 11. Patients need to believe in the intervention model presented in order to engage fully. 12. NR. 13. Evidence suggests that patients with CFS/ME are not satisfied with the care received from primary care, and GPs find management difficult. Suggesting solutions should be implemented is of limited use if patients feel that this option is not acceptable. solving
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