scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

PROFIT LEVELS STAGNATING AT HOSPITALS

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 597-597
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Medical Care ◽  
The Elderly ◽  
Health Care Executives ◽  
Profit Margins ◽  
Care For The Elderly ◽  
The Poor

Profit margins at most hospitals across the country declined or stagnated last year, reflecting growing pressure on them to reduce costs. And health care executives said many hospitals would be under even greater pressure in 1995 if Congress enacted proposals that would slash spending for medical care for the elderly and the poor. At investor-owned hospitals, the outlook is brighter, because many of them have moved aggressively to merge and cut costs. Profit at these hospitals has risen in the 1990s.

scholarly journals Psychiatric patients and their medical care

1992 ◽  
Vol 16 (2) ◽  
pp. 88-90
Author(s):  
Sunny Collings ◽  
Sara Myers
Keyword(s):  
Medical Care ◽  
Psychiatric Patients ◽  
Psychological Problem ◽  
Referral And Consultation ◽  
Medical Attention ◽  
Physical Medicine ◽  
Physical Problems ◽  
State Of Affairs ◽  
Psychiatric Problems ◽  
Physical Morbidity

Informal discussions between psychiatric trainees reveal frequent difficulties and frustrations in providing adequate medical care to psychiatric patients. Our writing this article was prompted by the death of a patient who had been referred to casualty with behavioural and physical problems, and who, once labelled as a ‘psychiatric patient, did not receive the medical attention he required. Other trainees will have their own similar examples, at best resulting in only inconvenience to the junior doctor. This may seem surprising given the knowledge that people with psychiatric problems suffer increased physical morbidity. We were all taught as medical students that a physical presentation may mask a psychological problem and vice versa, and that both problems may co-exist. However, this knowledge does not always impinge on hospital clinical practice. From the viewpoint of junior psychiatrists, cross-specialty referral and consultation, and the provision of adequate medical care to our patients can be difficult. In this discussion, we will deal briefly with the contribution of ‘physical’ medicine to this state of affairs and then turn in more detail to the influence of psychiatry. Recommendations for improvement are made.

Sanitary and hygienic regime in medical institutions of general practice

2021 ◽  
pp. 14-23
Author(s):  
Vladimir Anatolievich Klimov
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Infection Control ◽  
Medical Care ◽  
Nosocomial Infections ◽  
System Organization ◽  
Modern Medicine ◽  
Medical Institutions ◽  
Quality Of Medical Care

The problem of infectious safety is extremely urgent in modern medicine. To date, it is not possible to determine the reliable prevalence of nosocomial infections, since this indicator is significantly underestimated according to available statistical reporting. The development and implementation of a sanitary and hygienic monitoring system, organization of the work of the infection control commission is an important element in improving the quality of medical care by a general practitioner.

Perceived Barriers to Accessing Specialized Medical Care in Rural Communities of Ontario: A Pilot Study

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Iman S Sapru ◽  
Kelsey Cassidy ◽  
Shannon L. Sibbald
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Rural Communities ◽  
Health Outcomes ◽  
Medical Care ◽  
Travel Distance ◽  
Specialist Care ◽  
Rural Residents ◽  
Medical Specialists ◽  
Access To Primary Care

Background. Rural residents seeking health care face barriers due to a shortage of healthcare professionals and the travel distance required to obtain medical services. This can lead to potentially harmful health outcomes, particularly when these citizens are unable to access specialized medical care. Few studies have specifically evaluated rural residents’ ability to access medical specialists. Methods. A pilot study was conducted to examine rural residents’ ability to access specialized care. This quantitative pen and paper survey was implemented in two communities with similar health care infrastructure (Tweed, Ontario and Hensall, Ontario). Findings. The majority of respondents (75.8% n= 72 in Tweed and 77.8% n=77 in Hensall;) had received a referral to see a medical specialist in the last five years (total of 352 referrals), which necessitated travelling beyond their communities. Only 5.4% (n=8) of respondents from both communities felt that the travel distance was “too far”. Other important issues identified by respondents included the need for more health services (such as more after-hours access to primary care) as well as the need for better access to medical specialists. Conclusion. Although access to medical specialists in each community is limited, the distance required to access medical specialists in larger centres is not currently perceived to be a barrier to rural residents receiving specialist care. This suggests that barriers to accessing specialist care are surmountable in moderately rural communities and the travel distance to medical specialists is not a significant contributor to poor health outcomes for rural residents.

The Education of the General Practitioner in the United Kingdom

1972 ◽  
Vol 2 (2) ◽  
pp. 183-191
Author(s):  
J. P. Horder
Keyword(s):  
General Practice ◽  
United Kingdom ◽  
General Practitioner ◽  
Medical Care ◽  
Postgraduate Training ◽  
The United Kingdom ◽  
Recent Trends ◽  
Training Schemes ◽  
Important Branch

Despite recent trends toward specialization, general practice will continue as an important branch of medical care in the United Kingdom. The role of the general practitioner is briefly discussed in this article and it is emphasized that physicians must be specifically and urgently instructed for this role as young postgraduates. This requires that some teaching of undergraduates take place in the setting of general practice; the limited aims of this teaching are listed. The main purpose of the article is to describe the aims and the outline syllabus for the training of general practitioners in the early postgraduate period. These aims have begun to be achieved in the last few years in this country. The present state of three–year postgraduate training schemes is reviewed and problems yet unsolved are discussed.

Use of Traditional and Complementary Medical Care by Patients With Multiple Sclerosis in South-East Queensland

2001 ◽  
Vol 3 (1) ◽  
pp. 13-28 ◽  
Author(s):  
Kaye D. Hooper ◽  
Michael P. Pender ◽  
Penny M. Webb ◽  
Pam A. McCombe
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Chronic Disease ◽  
General Practitioner ◽  
Medical Care ◽  
Older Patients ◽  
Complementary Therapy ◽  
Median Cost ◽  
Charitable Organization ◽  
Significant Disability

ABSTRACT Multiple sclerosis (MS) is a chronic disease that causes significant disability and dependence on health care. This study was performed to assess the use of traditional and complementary health care by 40 patients with clinically definite MS in South-East Queensland, Australia. Their clinical and personal details and use of traditional and complementary health care were recorded during interviews in the six-month study period from June 1996 to December 1996. All patients were under the care of a neurologist and a general practitioner. More than half (52.5%) of the patients used physiotherapy; among patients older than 40, use of physiotherapy reached 61%. Eighty percent of subjects were seen at the Multiple Sclerosis Society of Queensland, a charitable organization that delivers MS care. Thirty-three of 40 patients (82.5%) had used complementary therapy at some point; 93% of the women with MS had used this form of therapy. Older patients were less likely to use complementary therapy than were younger ones. Median cost to users of complementary therapy was $100 per month (Australian dollars). (Int J MS Care. 2001; 3(1): 13–28)

Changes in Hospitals and General Practice under Social Security in New Zealand

1971 ◽  
Vol 1 (4) ◽  
pp. 390-397 ◽  
Author(s):  
C. W. Dixon
Keyword(s):  
General Practice ◽  
New Zealand ◽  
General Practitioner ◽  
Social Security ◽  
Medical Care ◽  
Medical Knowledge ◽  
Method Of Payment

New Zealand has had state–financed hospital and general practitioner medical care for some 30 years. The system of deploying such money, in particular the method of payment of doctors, does have marked effects on the standard of medical care. However, considerable changes in medical knowledge and in the doctors' attitudes have occurred simultaneously, thus making the pattern of medical care subject to many influences.

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