Educational Outreach with an Integrated Clinical Tool for Nurse-Led Non-communicable Chronic Disease Management in Primary Care in South Africa: A Pragmatic Cluster Randomised Controlled Trial.

ABSTRACT:

Background

In many low-income countries, care for patients with non-communicable diseases (NCDs) and mental health conditions is provided by nurses. The benefits of nurse substitution and supplementation in NCD care in high-income settings are well recognised, but evidence from low- and middle-income countries is limited. Primary Care 101 (PC101) is a programme designed to support and expand nurses' role in NCD care, comprising educational outreach to nurses and a clinical management tool with enhanced prescribing provisions. We evaluated the effect of the programme on primary care nurses' capacity to manage NCDs.

Methods and findings

In a cluster randomised controlled trial design, 38 public sector primary care clinics in the Western Cape Province, South Africa, were random

SUBMITTER: Fairall LR 

PROVIDER: S-EPMC5119726 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature