scholarly journals Unplanned readmission to hospital: a comparison of the views of general practitioners and hospital staff

2002 ◽  
Vol 31 (2) ◽  
pp. 141-143 ◽  
Author(s):  
B. Pearson
2012 ◽  
Vol 21 (Suppl 1) ◽  
pp. i106-i113 ◽  
Author(s):  
Beryl Göbel ◽  
Dorien Zwart ◽  
Gijs Hesselink ◽  
Loes Pijnenborg ◽  
Paul Barach ◽  
...  

2002 ◽  
Vol 25 (2) ◽  
pp. 78 ◽  
Author(s):  
Billie Bonevski ◽  
Chris Doran ◽  
Carolyn Bailey ◽  
Julia Lowe

The objective of the project was to evaluate a pilot Post Acute Community Care (PACC) program for orthopaedicpatients. A series of cross-sectional surveys elicited responses of patient and home carer needs and GP and hospital staff acceptability while a cost-minimisation analysis compared the average cost of the PACC program with general orthopaedic hospital care. Patients were classified according to Australian National Diagnosis Related Groups (DRGs). Average length of hospital stay in 1998/99 for PACC patients was 7.7 days compared to 12.3 for generalorthopaedic patients. Only 3% of patients had an unplanned readmission to hospital. Patients and carers expressed a number of unmet needs. This study confirms the popularity of early discharge schemes with patients, and provides little evidence of adverse health outcomes or that the burden of care is shifted to carers in a way that is unacceptable for this older population.


2006 ◽  
Vol 88 (3) ◽  
pp. 292-296 ◽  
Author(s):  
Samantha E Hook ◽  
Gordon C Banister ◽  
Claire Topliss ◽  
Jonathan Webb

INTRODUCTION Accurate written communication is essential in orthopaedic surgery. Incomplete and poorly structured letters can lead to poor knowledge of a patient's diagnosis. MATERIALS AND METHODS Structured and traditional letter formats were compared for speed of reading and preference by general practitioners (GPs), consultants, registrars and out-patient nursing staff. In addition, out-patient clinic letters and notes were analysed and compared for speed of reading and ease of assimilating information and content. RESULTS There was overwhelming preference for the structured letter format. This style of letter could be read significantly more quickly with information better assimilated and relevant data included more frequently. However, only 26% of letters generated contained a complete set of information sought by GPs and hospital staff. CONCLUSIONS Structured letters are better in orthopaedics because it is easier to access the contents. The structured format disciplines medical staff to address essential information. Even with a structured format the majority of letters omitted essential information. Training in letter writing is necessary. A structured letter format next to dictating machines might improve the quality of letters generated.


1998 ◽  
Vol 4 (4) ◽  
pp. 68
Author(s):  
Yelena Fridgant ◽  
Gawaine P. Powell Davies ◽  
Brian I. O'Toole ◽  
Luc Betbeder-Matibet ◽  
Mark F. Harris

A series of focus groups was conducted with general practitioners (GPs), community health workers, hospital staff and consumers to examine the issue of integration of general practice within the wider Australian health system. Groups were held in various urban and rural locations to provide coverage of urban and rural conditions. The groups had representation from managerial as well as service provider staff and included GPs, hospital discharge planners, and emergency department staff, and from community health staff, nurses, physiotherapists, mental health workers, occupational therapists, and educators. Agreement was widespread that enhanced integration would confer benefits to patients, GPs, other health professionals, and to the health system generally. However, the health system was seen to be limited in its ability to integrate services. General practice, as small business working within the public health system, had different procedures and methods of remuneration than other health system components. Barriers to integration included structural, procedural and organisational factors, and included communication difficulties, variability in the roles and expectations of various service providers, and resource allocation and methods of funding. It is necessary to examine the barriers to integration more closely within the context of each type of service, to investigate effective ways of overcoming these barriers, and to describe and quantify the benefits that might arise from increased integration.


1971 ◽  
Vol 16 (9) ◽  
pp. 385-392
Author(s):  
P. W. R. Petrie

The main reasons for undertaking the survey of junior hospital medical staff are recalled. The emphasis given to off-duty and study time is considered. The implications of postgraduate training for the staffing posts already available in hospitals up to and including registrar level are examined. It is suggested that three training aims need to be kept in mind, viz. the training of hospital staff, the training of general practitioners and the training of doctors for overseas. Further consideration is directed towards the last two of these.


PEDIATRICS ◽  
1963 ◽  
Vol 31 (2) ◽  
pp. 311-318
Author(s):  
William H. Stewart ◽  
Maryland Y. Pennell

About 12,276 physicians (including those in training programs) are currently engaged in the practice of pediatrics. Of this number, 11,317 (or 92%) classify themselves as full-time specialists. More than half of the total have been certified by the American Board of Pediatrics. Three-fourths of the full-time pediatricians are in clinical practice. Eleven per cent are in other forms of practice such as hospital staff, teaching, or administration. The other 13% are in training programs as interns or residents. Fifteen per cent of the full-time pediatricians are women. Those reported as nonwhite number 187. Among the pediatricians engaged full-time in clinical practice, 61% are under age 45. The Northeast region and the West have more than their share of pediatric manpower in relation to child population; the North Central region and the South are in less favorable positions. Pediatrics ranks fifth among some 30 specialties in terms of medical manpower. At the present time, pediatricians comprise 8% of all specialists. The ratio of pediatricians to the child population under 15 years of age rose from 7.3 per 100,000 in 1940 to 16.3 by 1961. The ratio of general practitioners to the population under 15 years of age fell from 345 in 1940 to 135 per 100,000 in 1961. When pediatricians are combined with general practitioners, the ratio fell from 352 in 1940 to 151 in 1961.


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