Commentary on ST Houweling, N Kleefstra, KJJ van Hateren, KH Groenier, B Meyboom-de Jong & HJG Bilo (2011) Can diabetes management be safely transferred to practice nurses in a primary care setting? A randomised controlled trial. Journal of Clinical Nursing 20, 1264-1272

摘要

The optimal organisation of diabetes care has become a 'hot topic' in several countries. Traditionally, these services have been provided either by a general practitioner (GP) or at hospital clinics. In recent years however, much attention has been directed towards the transfer of diabetes care provided by hospital clinics to primary care settings. The study by Houweling et al. (2011) adds valuable information in this regard, namely that the outcome measures (e.g. glycosylated haemoglobin (HbAlc), blood pressure and lipid profile) are comparable, regardless of whether patients are under practice nurse (PN) or GP follow-up.