Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

An integrated care pathway for menorrhagia across the primary–secondary interface : patients' experience, clinical outcomes, and service utilisation

Tools
- Tools
+ Tools

Julian, Sophia , Naftalin, Nicholas J., Clark, M. D. (Michael D.), Szczepura, Ala, Rashid, Aly , Baker, Richard, Taub, Nicholas and Habiba, Marwan (2007) An integrated care pathway for menorrhagia across the primary–secondary interface : patients' experience, clinical outcomes, and service utilisation. Quality and Safety in Health Care, Vol.16 . pp. 110-115. doi:10.1136/qshc.2005.016782

[img]
Preview
PDF
WRAP_Szczepura_Menstrual_disorders_-_Quality_in_Health_Care_paper-published.pdf - Requires a PDF viewer.

Download (246Kb)
Official URL: http://dx.doi.org/10.1136/qshc.2005.016782

Request Changes to record.

Abstract

Background: ‘‘Referral’’ characterises a significant area of interaction between primary and secondary care.
Despite advantages, it can be inflexible, and may lead to duplication.
Objective: To examine the outcomes of an integrated model that lends weight to general practitioner (GP)-led
evidence based care.
Design: A prospective, non-random comparison of two services: women attending the new (Bridges) pathway
compared with those attending a consultant-led one-stop menstrual clinic (OSMC). Patients’ views were
examined using patient career diaries, health and clinical outcomes, and resource utilisation. Follow-up was
for 8 months.
Setting: A large teaching hospital and general practices within one primary care trust (PCT).
Results: Between March 2002 and June 2004, 99 women in the Bridges pathway were compared with 94
women referred to the OSMC by GPs from non-participating PCTs. The patient career diary demonstrated a
significant improvement in the Bridges group for patient information, fitting in at the point of arrangements
made for the patient to attend hospital (ease of access) (p,0.001), choice of doctor (p = 0.020), waiting time
for an appointment (p,0.001), and less ‘‘limbo’’ (patient experience of non-coordination between primary
and secondary care) (p,0.001). At 8 months there were no significant differences between the two groups in
surgical and medical treatment rates or in the use of GP clinic appointments. Significantly fewer (traditional)
hospital outpatient appointments were made in the Bridges group than in the OSMC group (p,0.001).
Conclusion: A general practice-led model of integrated care can significantly reduce outpatient attendance
while improving patient experience, and maintaining the quality of care.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Integrated delivery of health care, Menorrhagia
Journal or Publication Title: Quality and Safety in Health Care
Publisher: BMJ
ISSN: 1475-3898
Official Date: 2007
Dates:
DateEvent
2007Published
Volume: Vol.16
Page Range: pp. 110-115
DOI: 10.1136/qshc.2005.016782
Status: Peer Reviewed
Access rights to Published version: Open Access
Description:

Final version (as published).

Data sourced from Thomson Reuters' Web of Knowledge

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us