Hong Kong Med J 2010;16(Suppl 3):S8-12
Effectiveness of different models of health care delivery in the primary care setting of general outpatient clinics in Hong Kong
S Twinn, A Lee, AT Lam, DR Thompson, F Cheng, W Goggins
The Nethersole School of Nursing, The Chinese University of Hong Kong
1. The advanced practice nurse (APN) model of care demonstrates significant outcome improvement for stable hypertension (HT) patients and demonstrates similar outcomes of care to those of physicians for stable type-2 diabetes mellitus (DM) patients.
2. The APN model of care provides high levels of satisfaction for both HT and DM patients.
3. The APN model of care improves patient knowledge of diseases, which has implications for self-care in both HT and DM patients.
4. Both doctors and nurses demonstrated their acceptance of the APN model of care for patients with chronic diseases.
5. The APN model of care indicates the need to examine the policy of medication prescription by nurses to maximise the effectiveness of care for stable patients with chronic diseases.