Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices.

2.50
Hdl Handle:
http://hdl.handle.net/10147/190150
Title:
Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices.
Authors:
Kennelly, S; Kennedy, N P; Corish, C A; Flanagan-Rughoobur, G; Glennon-Slattery, C; Sugrue, S
Affiliation:
Community Nutrition & Dietetics Service, Health Service Executive Dublin Mid-Leinster, Mullingar, Country Westmeath, Ireland. sharon.kennelly@hse.ie
Citation:
Sustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices. 2011, 24 (5):496-504 J Hum Nutr Diet
Journal:
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
Issue Date:
Oct-2011
URI:
http://hdl.handle.net/10147/190150
DOI:
10.1111/j.1365-277X.2011.01197.x
PubMed ID:
21884287
Abstract:
Healthcare professionals working in the community do not always prescribe oral nutritional supplements (ONS) according to best practice guidelines for the management of malnutrition. The present study aimed to determine the impact of a community dietetics intervention on ONS prescribing practices and expenditure 1 year later.; The intervention involved general practitioners (GPs), practice nurses, nurses in local nursing homes and community nurses. It comprised an education programme together with the provision of a new community dietetics service. Changes in health care professionals' nutrition care practices were determined by examining community dietetics records. ONS prescribing volume and expenditure on ONS were assessed using data from the Primary Care Reimbursement Service of the Irish Health Service Executive.; Seven out of 10 principal GPs participated in the nutrition education programme. One year later, screening for malnutrition risk was better, dietary advice was provided more often, referral to the community dietetics service improved and ONS were prescribed for a greater proportion of patients at 'high risk' of malnutrition than before (88% versus 37%; P < 0.001). There was a trend towards fewer patients being prescribed ONS (18% reduction; P = 0.074) and there was no significant change in expenditure on ONS by participating GPs (3% reduction; P = 0.499), despite a 28% increase nationally by GPs on ONS.; The community dietetics intervention improved ONS prescribing practices by GPs and nurses, in accordance with best practice guidelines, without increasing expenditure on ONS during the year after intervention.
Item Type:
Article
Language:
en
ISSN:
1365-277X

Full metadata record

DC FieldValue Language
dc.contributor.authorKennelly, Sen
dc.contributor.authorKennedy, N Pen
dc.contributor.authorCorish, C Aen
dc.contributor.authorFlanagan-Rughoobur, Gen
dc.contributor.authorGlennon-Slattery, Cen
dc.contributor.authorSugrue, Sen
dc.date.accessioned2011-11-21T15:35:25Z-
dc.date.available2011-11-21T15:35:25Z-
dc.date.issued2011-10-
dc.identifier.citationSustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices. 2011, 24 (5):496-504 J Hum Nutr Dieten
dc.identifier.issn1365-277X-
dc.identifier.pmid21884287-
dc.identifier.doi10.1111/j.1365-277X.2011.01197.x-
dc.identifier.urihttp://hdl.handle.net/10147/190150-
dc.description.abstractHealthcare professionals working in the community do not always prescribe oral nutritional supplements (ONS) according to best practice guidelines for the management of malnutrition. The present study aimed to determine the impact of a community dietetics intervention on ONS prescribing practices and expenditure 1 year later.-
dc.description.abstractThe intervention involved general practitioners (GPs), practice nurses, nurses in local nursing homes and community nurses. It comprised an education programme together with the provision of a new community dietetics service. Changes in health care professionals' nutrition care practices were determined by examining community dietetics records. ONS prescribing volume and expenditure on ONS were assessed using data from the Primary Care Reimbursement Service of the Irish Health Service Executive.-
dc.description.abstractSeven out of 10 principal GPs participated in the nutrition education programme. One year later, screening for malnutrition risk was better, dietary advice was provided more often, referral to the community dietetics service improved and ONS were prescribed for a greater proportion of patients at 'high risk' of malnutrition than before (88% versus 37%; P < 0.001). There was a trend towards fewer patients being prescribed ONS (18% reduction; P = 0.074) and there was no significant change in expenditure on ONS by participating GPs (3% reduction; P = 0.499), despite a 28% increase nationally by GPs on ONS.-
dc.description.abstractThe community dietetics intervention improved ONS prescribing practices by GPs and nurses, in accordance with best practice guidelines, without increasing expenditure on ONS during the year after intervention.-
dc.language.isoenen
dc.titleSustained benefits of a community dietetics intervention designed to improve oral nutritional supplement prescribing practices.en
dc.typeArticleen
dc.contributor.departmentCommunity Nutrition & Dietetics Service, Health Service Executive Dublin Mid-Leinster, Mullingar, Country Westmeath, Ireland. sharon.kennelly@hse.ieen
dc.identifier.journalJournal of human nutrition and dietetics : the official journal of the British Dietetic Associationen

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