Full record(s)
|
Record no: |
1 of 1 |
|
|
Author: |
||
|
Title: |
A survey of access to medical services in nursing and residential homes in England. |
|
|
Reference: |
British Journal of General Practice, 52(480), July 2002, pp.545-548. |
|
|
ISSN paper: |
0960-1643 |
|
|
ISSN online: |
1478-5242 |
|
|
Abstract: |
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community. |
|
|
Journal home: |
||
|
Format: |
article; |
|
|
Topics: |
access to services; care homes; general practitioners; health care; nursing homes; older people; older peoples homes; residents; |
|
|
Content Type: |
||
|
Country/Region: |
||
|
Record ID: |
www.scie-socialcareonline.org.uk/profile.asp?guid=c7cb878c-efa7-4167-bb83-c0bf3b12b6e2 |
|
|
|
||
|
|
||