A review of primary health-care organization
Version of Record online: 14 NOV 2007
Journal of Clinical Nursing
Volume 3, Issue 4, pages 243–250, July 1994
How to Cite
WOOD, N., FARROW, S. and ELLIOTT, B. (1994), A review of primary health-care organization. Journal of Clinical Nursing, 3: 243–250. doi: 10.1111/j.1365-2702.1994.tb00395.x
- Issue online: 14 NOV 2007
- Version of Record online: 14 NOV 2007
- Accepted for publication 2 December 1993
- community nursing;
- general practitioner;
- primary health-care team;
- service education
- •A contract for the provision of community nursing and associated services was drawn up between the Plymouth Community Unit and general practitioners associated with a fundholding practice at a health centre in Devon in October 1991.
- •This project, which aimed at applying purchaser/provider principles, contained some novel features and was subject to evaluation and review after 6 months.
- •An evaluation which had four main aspects was carried out, consisting of interviews and questionnaire assessment of staff attitudes, patients' views of the effectiveness of aspects of the practice health-promotion activity, an analysis of staff activity data before and during the pilot phase and an examination of the documentation concerned with critical issues which had arisen.
- •Questionnaire data indicated that staff motivation and enthusiasm for the project was high and that patients' views on the practice facilities were generally positive.
- •The role of the Macmillan nursing service at this practice was greatly enhanced during the pilot project with a fourfold increase in the number of visits carried out.
- •Over 120 h were spent by health visiting and district nursing staff on issues surrounding the pilot project including attending additional meetings.
- •The results are discussed in relation to service benefits to patients, the effect on the cohesion of the primary health-care team and issues of fundholding and are considered in the context of models put forward for the future development of community-based nursing care.