{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,15]],"date-time":"2024-09-15T21:43:44Z","timestamp":1726436624906},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,6,19]],"date-time":"2014-06-19T00:00:00Z","timestamp":1403136000000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hepatology and gastroenterology services are increasingly utilising the skills and experience of nurse practitioners and nurse specialists to help meet the increasing demand for healthcare. A new nurse\u2010led assessment clinic has been established in the liver clinic at <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eelong <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital to utilise the expertise of nurses to assess and triage new patients and streamline their pathway through the healthcare system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study is to assess quantitatively the first 2 years of operation of the nurse assessment clinic at <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>eelong <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital, and to assess advantages and disadvantages of the nurse\u2010led clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were extracted retrospectively from clinical records of new patients at the liver clinic. Quarterly 1\u2010month periods were recorded over 2 years. Patients were categorised according to the path through which they saw a physician, including missed and rescheduled appointments. The number of appointments, the waiting time from referral to appointments and the number of \u2018did\u2010not\u2010attend\u2019 occasions were analysed before and after the institution of the nurse\u2010led assessment clinic. The <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ann\u2010<jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>hitney rank sum test of ordinal data was used to generate median wait times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was shown to be a statistically significant longer waiting time for physician appointment if seen by the nurse first. The difference in waiting time was 10 days. However, there was also a reduction in the number of missed appointments at the subsequent physician clinic. Other advantages have also been identified, including effective triage of patients and organisation of appropriate investigations from the initial nurse assessment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12400","type":"journal-article","created":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T02:53:03Z","timestamp":1393296783000},"page":"581-585","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Nurse\u2010led clinic: effective and efficient delivery of assessment and review of patients with hepatitis <scp>B<\/scp> and <scp>C<\/scp>"],"prefix":"10.1111","volume":"44","author":[{"given":"M. L.","family":"Biddle","sequence":"first","affiliation":[{"name":"School of Medicine Deakin University  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N. R.","family":"Adler","sequence":"additional","affiliation":[{"name":"School of Medicine Deakin University  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Heath","sequence":"additional","affiliation":[{"name":"Liver Clinic Department of Medicine Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Streat","sequence":"additional","affiliation":[{"name":"Liver Clinic Department of Medicine Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Wardrop","sequence":"additional","affiliation":[{"name":"Liver Clinic Department of Medicine Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. P.","family":"Watson","sequence":"additional","affiliation":[{"name":"School of Medicine Deakin University  Geelong Victoria Australia"},{"name":"Liver Clinic Department of Medicine Barwon Health  Geelong Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,19]]},"reference":[{"volume-title":"HIV, Viral Hepatitis and Sexually Transmissible Infections in Australia Annual Surveillance Report 2013","year":"2013","author":"The Kirby Institute","key":"e_1_2_7_2_1"},{"volume-title":"National Hepatitis C Strategy 2005\u20132008","year":"2005","author":"Commonwealth of Australia","key":"e_1_2_7_3_1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyg101"},{"volume-title":"National Hepatitis B Strategy 2010\u20132013","year":"2010","author":"Commonwealth of Australia","key":"e_1_2_7_5_1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500101807"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05870.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-10-46"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-1609.2011.00217.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2009.009068"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SGA.0b013e31825a2786"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1258\/0956462053654348"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638237.2012.705924"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1108\/09526861111139214"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/edn.4"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03239.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612841003629532"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-008-0617-x"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12400","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12400","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T06:30:57Z","timestamp":1696141857000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,6]]}},"alternative-id":["10.1111\/imj.12400"],"URL":"https:\/\/doi.org\/10.1111\/imj.12400","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2014,6]]},"assertion":[{"value":"2013-11-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-02-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}