Home assessments in geriatrics revisited: an audit of a routine home visiting service
| Autor: | C. S. Gray, S. J. Lewis, D. J. N. Drewitt |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
Referral Health Services for the Aged Control (management) Audit 030204 cardiovascular system & hematology Direct communication 03 medical and health sciences 0302 clinical medicine Patient Admission Medicine Humans 030212 general & internal medicine Geriatric Assessment Referral and Consultation Aged Geriatrics Service (business) Aged 80 and over Medical Audit business.industry General Medicine Community Health Nursing Patient management House Calls Family medicine Day hospital business Day Care Medical |
| Zdroj: | Scottish medical journal. 36(6) |
| ISSN: | 0036-9330 |
| Popis: | Routine home visiting is a luxury not afforded to other medical specialities. The practice of routine home assessment visiting in geriatric medicine was evaluated in a prospective study of 110 consecutive referrals to determine whether; the response to general practitioners referrals could be predicted from the information given at the time of referral and; to identify where home visiting identified additional information of value in directing services more appropriately. Requests for admission were accurately predicted in 86–96% of cases by the visiting and a control doctor respectively. Additional information of value in directing services and patient management was gained from the home visit in 30% of admissions, 58% of day hospital cases and 80% of out-patients. It is possible to predict the outcome of home visits although implementation of such predictions without direct communication with general practitioners would result in a small number of unnecessary admissions and referrals to day hospital services. |
| Databáze: | OpenAIRE |
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