Document Detail

The benefits of a shared-care prostate clinic.
MedLine Citation:
PMID:  8705216     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To establish a hospital based shared-care clinic to investigate and manage benign prostatic hyperplasia (BPH) with general practitioners (GPs). PATIENTS AND METHODS: During one year, 330 patients referred with suspected prostatic obstruction were investigated in an outreach clinic in a rural cottage hospital by urology department nurses according to a protocol. After this, they were referred directly back to their GPs with recommendations for their management or seen in the urologist's clinic. A questionnaire was completed by the GPs to assess their satisfaction with and attitudes to the clinic. RESULTS: One-third of the patients were referred directly back to their GP, a third were seen routinely and a third seen urgently in the urologist's clinic, usually because a prostate-specific antigen assay indicated the possibility of latent prostatic cancer. A survey confirmed that GP support for the clinic was unanimous whilst patients were reassured by the thoroughness and sensitivity of the clinic's nursing staff. CONCLUSION: The clinic reduced the workload of the GPs and urologists whilst providing a speedy and comprehensive assessment of patients presenting with suspected prostatic obstruction.
C M Booth; A A Chaudry; K Smith; K Griffiths
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of urology     Volume:  77     ISSN:  0007-1331     ISO Abbreviation:  Br J Urol     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-09-11     Completed Date:  1996-09-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15740090R     Medline TA:  Br J Urol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  830-5     Citation Subset:  IM    
Urology Department, Colchester General Hospital, UK.
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MeSH Terms
Clinical Protocols
Consumer Satisfaction
Family Practice
Hospitals, Rural
Interprofessional Relations
Medical Records
Patient Care Team / organization & administration*
Prostatic Diseases / therapy*
Rural Health
Rural Health Services

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