Fund-holding general practices and old age psychiatry

1994 ◽  
Vol 18 (5) ◽  
pp. 263-265 ◽  
Author(s):  
Christopher F. Fear ◽  
Howard R. Cattell
Keyword(s):  
Retrospective Study ◽  
General Practitioner ◽  
Old Age ◽  
Local Practices ◽  
Old Age Psychiatry ◽  
General Practices

In a retrospective study, referrals to a community old age psychiatry service were obtained for local practices a year before and a year subsequent to the introduction of prospective general practitioner (GP) fund-holding. Although overall patterns of referral were the same, there was a significant reduction in domiciliary consultations requested by fund-holding GPs which was not balanced by a rise in other referrals. The findings suggest a shortfall in the number of referrals to old age psychiatry services in the light of GP fund-holding, prompting speculation as to the fate of those who would otherwise have been referred.

scholarly journals A brief computerised discharge summary in old age psychiatry: general practitioner reactions

1990 ◽  
Vol 14 (6) ◽  
pp. 330-330 ◽  
Author(s):  
J. P. Wattis ◽  
David Protheroe
Keyword(s):  
General Practitioner ◽  
Old Age ◽  
Catchment Area ◽  
Discharge Summary ◽  
Medical Audit ◽  
Other Information ◽  
Old Age Psychiatry ◽  
Surgical Audit

In an attempt to provide data for medical audit, to standardise the information on discharge letters and to speed communication, a computerised discharge form was introduced for a catchment area of 20,000 people over 65 years. The programme, based on a surgical audit programme using DBASE II, was developed by one of us to run on an Amstrad PCW. This produced a discharge summary on a standard layout which gave the date of admission, the patient's name, date of birth and address as well as the consultant and GP's name. The patient's diagnosis (according to ICD-9), and a list of disciplines and facilities involved in follow-up preceded brief notes on history and progress. Date of discharge was followed by a list of medication and a space for ‘other information’. All this was contained on one side of A4 paper.

scholarly journals Old age psychiatry and geriatric medicine admissions and elderly suicide rates in England

2010 ◽  
Vol 22 (3) ◽  
pp. 502-504 ◽  
Author(s):  
Ajit Shah
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practitioner ◽  
Old Age ◽  
Geriatric Medicine ◽  
Healthcare Services ◽  
Suicide Rates ◽  
Old Age Psychiatry ◽  
Elderly Suicide ◽  
Almost All

Almost all elderly suicide victims have mental illness, and up to 90% have depression (Shah and De, 1998). A significant number of elderly suicide victims in Western countries consult their general practitioner or psychiatrist or contact mental health services between one week and six months prior to the suicide (Catell, 1988; Conwell et al., 1990; 1991; Catell and Jolley, 1995; Vassilas and Morgan, 1993; 1994). This offers an opportunity for identification and treatment of the mental illness. Thus, the availability of appropriate healthcare services may be an important factor associated with elderly suicide rates.

scholarly journals Consultation—liaison in an old age psychiatry service

1998 ◽  
Vol 22 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Ruth Loane ◽  
Peter Jefferys
Keyword(s):  
Nursing Home ◽  
Retrospective Study ◽  
Hospital Admission ◽  
Social Services ◽  
Old Age ◽  
Care Facility ◽  
Continuing Care ◽  
Functional Disorder ◽  
Old Age Psychiatry

This retrospective study looks at the outcome of 71 consecutive liaison referrals. Placement was noted at three-month follow-up and further use of medical, psychiatric and social services, compliance with clinical management and recommendations was also measured. Nearly half the patients had dementia and about half had a functional disorder. In 90% of referrals the recommendations were followed. At three-month follow-up 17% had died, 26% had further medical hospital admission, 39% had moved into a continuing care facility (residential/nursing home), and over half had further contact with the old age psychiatry services.

scholarly journals Prescribing for patients attending old age psychiatry day hospitals

1996 ◽  
Vol 20 (6) ◽  
pp. 335-337
Author(s):  
Margaret M. Semple ◽  
Brian R. Ballinger ◽  
Elizabeth Irvine
Keyword(s):  
General Practitioner ◽  
Drug Treatment ◽  
Old Age ◽  
General Practitioners ◽  
Day Hospital ◽  
Old Age Psychiatry ◽  
Day Hospitals

A review of the drug treatment of 163 patients attending two old age psychiatric day hospitals showed that 29 received medication from the day hospital, 44 from general practitioners and 60 from both sources. Many of the patients' knowledge of their drug treatment was incomplete. Of those individuals interviewed, approximately equal numbers expressed a preference for day hospital and general practitioner prescriptions. The origin of the prescription did not bear any obvious relationship to subsequent admission to hospital or continued attendance at the day hospital.

Old age psychiatry in Ireland: The way forward

1996 ◽  
Author(s):  
Colm Cooney ◽  
Margaret Kelleher
Keyword(s):  
Old Age ◽  
Old Age Psychiatry ◽  
The Way

Clinical Guidelines in Old Age Psychiatry

2001 ◽  
Author(s):  
Alistair Burns ◽  
Tom Dening ◽  
Brian Lawlor
Keyword(s):  
Old Age ◽  
Clinical Guidelines ◽  
Old Age Psychiatry

scholarly journals Old age psychiatry

2002 ◽  
Vol 180 (3) ◽  
pp. 282-283 ◽  
Author(s):  
Alistair Burns
Keyword(s):  
Old Age ◽  
Old Age Psychiatry

scholarly journals Standing order use in general practice: the views of medicine, nursing and pharmacy stakeholder organisations

2017 ◽  
Vol 9 (1) ◽  
pp. 47 ◽  
Author(s):  
Robyn Taylor ◽  
Eileen McKinlay ◽  
Caroline Morris
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Access To Health Care ◽  
Timely Manner ◽  
Face To Face ◽  
Standing Order ◽  
Access To Health ◽  
General Practices ◽  
Pharmacy Data ◽  
The Impact

ABSTRACT INTRODUCTION Standing orders are used by many general practices in New Zealand. They allow a practice nurse to assess patients and administer and/or supply medicines without needing intervention from a general practitioner. AIM To explore organisational strategic stakeholders’ views of standing order use in general practice nationally. METHODS Eight semi-structured, qualitative, face-to-face interviews were conducted with participants representing key primary care stakeholder organisations from nursing, medicine and pharmacy. Data were analysed using a qualitative inductive thematic approach. RESULTS Three key themes emerged: a lack of understanding around standing order use in general practice, legal and professional concerns, and the impact on workforce and clinical practice. Standing orders were perceived to extend nursing practice and seen as a useful tool in enabling patients to access medicines in a safe and timely manner. DISCUSSION The variability in understanding of the definition and use of standing orders appears to relate to a lack of leadership in this area. Leadership should facilitate the required development of standardised resources and quality assurance measures to aid implementation. If these aspects are addressed, then standing orders will continue to be a useful tool in general practice and enable patients to have access to health care and, if necessary, to medicines without seeing a general practitioner.

scholarly journals “Breaking the silence”: Sexual victimisation in an old age psychiatry patient population in Flanders

2021 ◽  
Author(s):  
Anne Nobels ◽  
Ines Keygnaert ◽  
Egon Robert ◽  
Christophe Vandeviver ◽  
An Haekens ◽  
...  
Keyword(s):  
Old Age ◽  
Patient Population ◽  
Old Age Psychiatry
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