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Patient and practitioner views of a new rheumatology (Tier 2) primary care service

Ball, E; Critchley, S

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Authors

S Critchley



Abstract

The rheumatology Tier 2 service in Oldham was
implemented to see patients in a primary care
setting for their initial assessment. They were treated
and discharged within the service, or referred on to
secondary care in order to limit inappropriate
attendance in secondary care and fast-track patients
with inflammatory disease to the rheumatology
consultant. The aim of this study was to evaluate
patients’ and general practitioners’ (GPs’) views
about the transfer of rheumatological services
from secondary to primary care. Patients and GPs
were from a single primary care trust in Oldham,
north west England. A thematic analysis of interview
data was taken, and findings showed high
patient satisfaction with the service, favouring the
primary care environment to a hospital setting. GPs
reported on cost-effectiveness of the service and
better management of the disease. The Tier 2 service
has the potential to set a new direction for multiagency
care within a primary care setting.

Citation

Ball, E., & Critchley, S. (2007). Patient and practitioner views of a new rheumatology (Tier 2) primary care service. Quality in Primary Care, 15(2), 101-106

Journal Article Type Article
Publication Date Jan 1, 2007
Deposit Date Jul 21, 2010
Publicly Available Date Apr 5, 2016
Journal Quality in Primary Care
Print ISSN 1479-1072
Publisher Radcliffe Medical Press
Peer Reviewed Peer Reviewed
Volume 15
Issue 2
Pages 101-106
Keywords patient perspective, primary/secondary
care interface, rheumatology care, waiting times
Publisher URL http://www.ingentaconnect.com/content/rmp/qpc/2007/00000015/00000002/art00007
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