Experience of Organizing Collaboration of General Practitioners in Psychiatric Studies in a Specific Catchment Area

2015 ◽  
pp. 75-82 ◽  
Author(s):  
M. Gastpar
Keyword(s):  
General Practitioners ◽  
Catchment Area

scholarly journals Spatial Variation in General Medical Services Income in Dublin General Practitioners

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Conor Teljeur ◽  
Alan Kelly ◽  
Tom O'Dowd
Keyword(s):  
General Practitioners ◽  
Catchment Area ◽  
The Elderly ◽  
Medical Services ◽  
Practice Characteristics ◽  
Capitation Rate ◽  
Point Of Use ◽  
Economically Deprived ◽  
Almost All ◽  
Deprived Areas

The general medical services (GMS) scheme provides care free at the point of use for the 30% most economically deprived section of the population and the elderly. Almost all people of over-70-year olds are eligible for the GMS scheme potentially directing resources away from those most in need. The aim of this study is to analyse the relationship between practice GMS income and deprivation amongst Dublin-based general practitioners (GPs). The practice GMS income in Dublin was analysed in relation to practice characteristics including the number of GPs, catchment area population, proportion of over-70-year olds in the catchment area, catchment deprivation, number of GMS GPs within 2 km, and average GMS practice income within 2 km. Practice GMS income was highest in deprived areas but is also a valuable source of income in the least deprived areas. The capitation rate for over-70-year olds provides an incentive for GPs to locate in affluent areas and potentially directs resources away from those in greater need.

scholarly journals How do socio-economic factors and distance predict access to prevention and rehabilitation services in a Danish municipality?

2016 ◽  
Vol 17 (06) ◽  
pp. 578-585 ◽  
Author(s):  
Anette L. Hindhede ◽  
Ane Bonde ◽  
Jasper Schipperijn ◽  
Stine H. Scheuer ◽  
Susanne M. Sørensen ◽  
...  
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Catchment Area ◽  
Access To Health Care ◽  
Health Care Services ◽  
Economic Status ◽  
Health Care Systems ◽  
Economic Vulnerability ◽  
Initial Appointment ◽  
Planned Activities

AimThe aim was to explore the extent to which a Danish prevention centre catered to marginalised groups within the catchment area. We determined whether the district’s socio-economic vulnerability status and distance from the citizens’ residential sector to the centre influenced referrals of citizens to the centre, their attendance at initial appointment, and completion of planned activities at the centre.BackgroundDisparities in access to health care services is one among many aspects of inequality in health. There are multiple determinants within populations (socio-economic status, ethnicity, and education) as well as the health care systems (resource availability and cultural acceptability).MethodsA total of 347 participants referred to the centre during a 10-month period were included. For each of 44 districts within the catchment area, the degree of socio-economic vulnerability was estimated based on the citizens’ educational level, ethnicity, income, and unemployment rate. A socio-economic vulnerability score (SE-score) was calculated. Logistic regression was used to calculate the probability that a person was referred to the centre, attended the initial appointment, and completed the planned activities, depending on sex, age, SE-score of district of residence, and distance to the centre.FindingsCitizens from locations with a high socio-economic vulnerability had increased probability of being referred by general practitioners, hospitals, and job centres. Citizens living further away from the prevention centre had a reduced probability of being referred by their general practitioners. After referral, there was no difference in probability of attendance or completion as a function of SE-score or distance between the citizens’ district and the centre. In conclusion, the centre is capable of attracting referrals from districts where the need is likely to be relatively high in terms of socio-economic vulnerability, whereas distance reduced the probability of referral. No differences were found in attendance or completion.

scholarly journals Quantifying spatial accessibility of general practitioners by applying a modified huff three-step floating catchment area (MH3SFCA) method

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Julia Subal ◽  
Piret Paal ◽  
Jukka M. Krisp
Keyword(s):  
General Practitioners ◽  
Rural Areas ◽  
Catchment Area ◽  
Input Data ◽  
Population Distribution ◽  
Supply And Demand ◽  
Spatial Accessibility ◽  
Small Scale ◽  
System Utilization ◽  
Deutschland Gmbh

Abstract Background It is necessary to ensure sufficient healthcare. The use of current, precise and realistic methods to model spatial accessibility to healthcare and thus improved decision-making is helping this process. Generally, these methods—which include the family of floating catchment area (FCA) methods—incorporate a number of criteria that address topics like access, efficiency, budget, equity and the overall system utilization. How can we measure spatial accessibility? This paper investigates a sophisticated approach for quantifying the spatial accessibility of general practitioners. (GPs). Our objective is the investigation and application of a spatial accessibility index by an improved Huff three-step floating catchment area (MH3SFCA) method. Methods We modify and implement the huff model three-step floating catchment area (MH3SFCA) method and exemplary calculation of the spatial accessibility indices for the test study area. The method is extended to incorporate a more realistic way to model the distance decay effect. To that end, instead of a binary approach, a continuous approach is employed. Therefore, each distance between a healthcare site and the population is incorporated individually. The study area includes Swabia and the city of Augsburg, Germany. The data for analysis is obtained from following data sources: (1) Acxiom Deutschland GmbH (2020) provided a test dataset for the locations of general practitioners (GPs); (2) OpenStreetMap (OSM) data is utilized for road networks; and (3) the Statistische Ämter des Bundes und der Länder (German official census 2011) provided a population distribution dataset stemming from the 2011 Census. Results The spatial accessibility indices are distributed in an inhomogeneous as well as polycentric pattern for the general practitioners (GPs). Differences in spatial accessibility are found mainly between urban and rural areas. The transitions from lower to higher values of accessibility or vice versa in general are smooth rather than abrupt. The results indicate that the MH3SFCA method is suited for comparing the spatial accessibility of GPs in different regions. The results of the MH3SFCA method can be used to indicate over- and undersupplied areas. However, the absolute values of the indices do not inherently define accessibility to be too low or too high. Instead, the indices compare the spatial relationships between each supply and demand location. As a result, the higher the value of the accessibility indices, the higher the opportunities for the respective population locations. The result for the study area are exemplary as the test input data has a high uncertainty. Depending on the objective, it might be necessary to further analyze the results of the method. Conclusions The application of the MH3SFCA method on small-scale data can provide an overview of accessibility for the whole study area. As many factors have to be taken into account, the outcomes are too complex for a direct and clear interpretation of why indices are low or high. The MH3SFCA method can be used to detect differences in accessibility on a small scale. In order to effectively detect over- or undersupply, further analysis must be conducted and/or different (legal) constraints must be applied. The methodology requires input data of high quality.

Attitudes of general practitioners to the psychiatric services

1994 ◽  
Vol 11 (1) ◽  
pp. 44-46 ◽  
Author(s):  
Liam Watters ◽  
Miriam Gannon ◽  
Denis Murphy
Keyword(s):  
General Practitioners ◽  
Catchment Area ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Psychiatric Morbidity ◽  
Psychiatric Hospitals ◽  
Psychiatric Services ◽  
Community Psychiatric ◽  
High Level

Structural AbstractObjective: General practitioners play a crucial role in the delivery of psychiatric treatment to patients who have many similarities to those attending the general psychiatric services. The purpose of this study was to elicit attitudes of general practitioners to an existing local service. Methods: We used an anonymous questionaire hand delivered to 54 general practitioners with practices in the catchment area of one of Dublin's psychiatric hospitals. Results: We received responses from 40 of the GP's indicating a high level of psychiatric morbidity in the primary care setting, a moderate level of satisfaction with psychiatric service, a low level of knowledge of the catchment area system, limited interest in taking on an increased role in the care of psychiatric patients and a high popularity rating for the community psychiatric nurse. Conclusions: This study confirms previous estimates of psychiatric morbidity in general practice, a need for improved communication between psychiatrists and general practitioners to identify more realistic expectations on both sides of the equation, and a huge potential for the expanding community psychiatric services to improve liaison between general practitioners and psychiatrists and yield considerable patient and doctor gains.

Preliminary Psychiatric Observations in Egypt

1968 ◽  
Vol 114 (513) ◽  
pp. 949-955 ◽  
Author(s):  
A. Okasha ◽  
M. Kamel ◽  
A. H. Hassan
Keyword(s):  
General Practitioners ◽  
Catchment Area ◽  
Psychiatric Clinic ◽  
Psychiatric Examination ◽  
The Third ◽  
Descriptive Account ◽  
The University

In the following paper a short clinical, descriptive account is given of the first 1,000 patients attending Ain Shams University Psychiatric Clinic from the beginning of 1966. Although the clinic is in the centre of Cairo, its catchment area extends all over Egypt. Patients are referred through three channels; either general practitioners send them for a psychiatric opinion or they come from other medical out-patient clinics at the University. The third group represents those who come independently and ask for psychiatric examination. Usually these are patients from the countryside who have tried lay therapy in their villages but without improvement. This group represents a deficit in the organization of referral, as many of them, having been examined at the psychiatric clinic may have to be referred to another medical out-patient clinic because of a non-psychiatric organic pathology.

General practitioners' opinion of a new psychiatry of old age service

1997 ◽  
Vol 14 (3) ◽  
pp. 102-104
Author(s):  
Margaret Kelleher
Keyword(s):  
Mental Illness ◽  
Old Age ◽  
General Practitioners ◽  
Catchment Area ◽  
Anonymous Questionnaire ◽  
The City

AbstractObjective: To evaluate the reaction of local general practitioners to a new psychiatry of old age service 10 months following its inception.Method: An anonymous questionnaire was sent to all GPs in the catchment area of the Service. Questions asked the opinion of GPs on structure and process of the Service, and also asked for suggestions as to how the Service could patients did not have any reservations about being seen by a psychiatrist, but 72% of rural GPs felt the location of the service base (in the city) was a problem.Conclusion: The results of the study suggest that GPs are reasonably satisfied with the initial service offered by the new specialty. Future service developments must address issues highlighted such as access to the service for patients living outside the city, improving the inpatient facilities for patients with a functional mental illness, and improving communication with GPs.

36: Management of Patients with Elevated Prostate Specific Antigen Level among General Practitioners in Switzerland

2005 ◽  
Vol 173 (4S) ◽  
pp. 10-11
Author(s):  
Markus Fatzer ◽  
Michael Muentener ◽  
Raeto T. Strebel ◽  
Dieter Hauri ◽  
Hubert A. John
Keyword(s):  
Prostate Specific Antigen ◽  
General Practitioners ◽  
Specific Antigen ◽  
Prostate Specific Antigen Level ◽  
Antigen Level

Lymphedema and lipedema - an overview of conservative treatment

VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 271-279 ◽  
Author(s):  
Wagner
Keyword(s):  
Conservative Treatment ◽  
General Practitioners ◽  
Subcutaneous Tissue ◽  
Compression Therapy ◽  
Compression Stocking ◽  
Lymph Drainage ◽  
Intensive Phase ◽  
Manual Lymph Drainage ◽  
Causal Therapy

Lymphedema and lipedema are chronic progressive disorders for which no causal therapy exists so far. Many general practitioners will rarely see these disorders with the consequence that diagnosis is often delayed. The pathophysiological basis is edematization of the tissues. Lymphedema involves an impairment of lymph drainage with resultant fluid build-up. Lipedema arises from an orthostatic predisposition to edema in pathologically increased subcutaneous tissue. Treatment includes complex physical decongestion by manual lymph drainage and absolutely uncompromising compression therapy whether it is by bandage in the intensive phase to reduce edema or with a flat knit compression stocking to maintain volume.

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