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Article << Previous     |     Next >>   Contents Vol 19(2)

Feasibility and acceptability of nurse-led youth clinics in Australian general practice

Kelsey Hegarty A C, Rhian Parker A B, Danielle Newton A, Laura Forrest B, Janelle Seymour A and Lena Sanci A

A General Practice and Primary Health Care Academic Centre, The University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3053, Australia.
B Australian Primary Health Care Research Institute, The Australian National University, Corner of Gordon and Marcus Clarke Streets, Acton, ACT 2601, Australia.
C Corresponding author. Email: k.hegarty@unimelb.edu.au

Australian Journal of Primary Health 19(2) 159-165 http://dx.doi.org/10.1071/PY12025
Submitted: 17 August 2011  Accepted: 9 March 2012   Published: 4 May 2012


 
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Abstract

Internationally, youth access to primary health care is problematic due to documented barriers such as cost, concerns about confidentiality, and knowledge about when to attend and available services. The treatment of health problems earlier in life together with engagement in prevention and health education can optimise youth health and maximise the potential of future wellbeing. This study investigated the feasibility, acceptability and cost of establishing nurse-led youth clinics in Victoria, Australia. Three general practices in rural and regional areas of Victoria implemented the nurse-led youth health clinics. The clinics were poorly attended by young people. Practice nurses identified several barriers to the clinic attendance including the short timeframe of the study, set times of the clinics and a lack of support for the clinics by some GPs and external youth health clinics, resulting in few referrals. The clinics cost from $5912 to $8557 to establish, which included training the practice nurses. Benefits of the clinics included increased staff knowledge about youth health issues and improved relationships within the general practice staff teams. The implementation of youth health clinics is not feasible in a short timeframe and to maximise use of the clinics, all members of the general practice team need to find the clinics acceptable.

Additional keywords: cost, GPs, nurses, primary health care.


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