Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town

dc.contributor.authorNamane, M K
dc.contributor.authorKalla, A A
dc.contributor.authorYoung, T N
dc.date.accessioned2016-04-23T12:28:04Z
dc.date.available2016-04-23T12:28:04Z
dc.date.issued2013
dc.date.updated2016-04-21T07:20:03Z
dc.description.abstractObjectives: To compare the proportion of patients with documented diagnoses and management plans when they presented with musculoskeletal complaints at two community health centres (CHCs) using two models of care: one with a rheumatology outreach service and the other with none. Secondly, to describe the profile of patients with rheumatoid arthritis (RA) who attended the CHC with the outreach service. Design: Cross-sectional. Setting: Heidelberg Community Health Centre and Vanguard Community Health Centre, Cape Town. Subjects: A group of 59 patients at each CHC were compared regarding engagement of their musculoskeletal complaints by doctors and clinical nurse practitioners (CNPs). Secondly, 24 RA patients who attended Heideveld CHC were profiled. Results: A comparison of the “overall engagement” between the two CHCs [risk difference (RD) -0.06, 95% confidence interval (CI): -0.17–0.05, odds ratio (OR) 0.79, 95% CI: 0.51–1.24, chi-square 0.82, p-value 0.36] was not significantly different. Comparison between doctors (RD -0.05, 95% CI: -0.05–0.08, OR 0.80, 95% CI: 0.46–1.40, chi-square 0.41, p-value 0.52) was also not significantly different. The comparison between the CNPs at the two CHCs was statistically significant (RD 0.30, 95% CI: 0.14–0.45, OR 8.37, 95% CI: 1.05–66.60, Fisher's exact test 0.01), but the CI around OR was large. Patients with RA had a mean age of 60 years, an average of two co-morbidities and an average of three annual clinic visits. Eighty- three per cent resided in the drainage area of the clinic. Conclusion: There was no significant difference in engagement between the CHCs. The potential that CNPs seemed to show of being positively influenced by the outreach service should be further researched. Patients with RA had co- morbidities that required management at primary healthcare level.en_ZA
dc.identifierhttp://dx.doi.org/10.1080/20786204.2013.10874380
dc.identifier.apacitationNamane, M. K., Kalla, A. A., & Young, T. N. (2013). Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town. <i>South African Family Practice</i>, http://hdl.handle.net/11427/19153en_ZA
dc.identifier.chicagocitationNamane, M K, A A Kalla, and T N Young "Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town." <i>South African Family Practice</i> (2013) http://hdl.handle.net/11427/19153en_ZA
dc.identifier.citationNamane, M. K., Kalla, A. A., & Young, T. N. (2013). Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town. South African Family Practice, 55(4), 380-384.en_ZA
dc.identifier.issn2078-6190en_ZA
dc.identifier.ris TY - Journal Article AU - Namane, M K AU - Kalla, A A AU - Young, T N AB - Objectives: To compare the proportion of patients with documented diagnoses and management plans when they presented with musculoskeletal complaints at two community health centres (CHCs) using two models of care: one with a rheumatology outreach service and the other with none. Secondly, to describe the profile of patients with rheumatoid arthritis (RA) who attended the CHC with the outreach service. Design: Cross-sectional. Setting: Heidelberg Community Health Centre and Vanguard Community Health Centre, Cape Town. Subjects: A group of 59 patients at each CHC were compared regarding engagement of their musculoskeletal complaints by doctors and clinical nurse practitioners (CNPs). Secondly, 24 RA patients who attended Heideveld CHC were profiled. Results: A comparison of the “overall engagement” between the two CHCs [risk difference (RD) -0.06, 95% confidence interval (CI): -0.17–0.05, odds ratio (OR) 0.79, 95% CI: 0.51–1.24, chi-square 0.82, p-value 0.36] was not significantly different. Comparison between doctors (RD -0.05, 95% CI: -0.05–0.08, OR 0.80, 95% CI: 0.46–1.40, chi-square 0.41, p-value 0.52) was also not significantly different. The comparison between the CNPs at the two CHCs was statistically significant (RD 0.30, 95% CI: 0.14–0.45, OR 8.37, 95% CI: 1.05–66.60, Fisher's exact test 0.01), but the CI around OR was large. Patients with RA had a mean age of 60 years, an average of two co-morbidities and an average of three annual clinic visits. Eighty- three per cent resided in the drainage area of the clinic. Conclusion: There was no significant difference in engagement between the CHCs. The potential that CNPs seemed to show of being positively influenced by the outreach service should be further researched. Patients with RA had co- morbidities that required management at primary healthcare level. DA - 2013 DB - OpenUCT DP - University of Cape Town J1 - South African Family Practice LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 SM - 2078-6190 T1 - Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town TI - Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town UR - http://hdl.handle.net/11427/19153 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19153
dc.identifier.urihttp://www.tandfonline.com/doi/abs/10.1080/20786204.2013.10874380
dc.identifier.vancouvercitationNamane MK, Kalla AA, Young TN. Consultation outcomes for musculoskeletal conditions at two community health centres in Cape Town. South African Family Practice. 2013; http://hdl.handle.net/11427/19153.en_ZA
dc.languageengen_ZA
dc.publisherSouth African Academy of Family Physiciansen_ZA
dc.publisher.departmentDivision of Rheumatologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-Noncommercial-No Derivative Works 2.5 South Africa License*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/za/en_ZA
dc.sourceSouth African Family Practiceen_ZA
dc.source.urihttp://www.safpj.co.za/index.php/safpj
dc.subject.othermusculoskeletal conditions
dc.subject.otherrheumatoid arthritis
dc.subject.othercommunity health centre
dc.subject.otherCape Town
dc.titleConsultation outcomes for musculoskeletal conditions at two community health centres in Cape Townen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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