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Biomedical subjects

E J Maddox

Publications and source records attributed to E J Maddox.

6 recordsLinked to original sources

Use of a community health centre by general practitioners.

The advent of community health centres has brought a change to supportive services in many areas. This situation has produced problems, both for the general practitioner confronted by new expectations and possibilities, and for the health centre seeking his cooperation. There is here an opportunity to observe the process of change in general practice. In the evaluation of a community health centre, GPs in an inner-urban area were interviewed to locate factors related to their use of services. The resulting observations of change in general practice suggested certain conclusions for the health centre's policy.

Adult↗

Incongruous referrals.

A survey of 1344 patients registered at a new health centre in Glasgow assessed the prevalence of symptoms and referrals together with subjective, gradings of medical symptoms in terms of pain, disability, and perceived seriousness, and of social symptoms in terms of worry or inconvenience. These grading scales were used to define referral behaviour which appeared to be incongruous in the light of the respondents' own perceptions of their symptoms. In this way incongruous referrals indicated the size of the medical and social symptom "iceberg" and "trivia". For both medical and social symptoms the "icebergs" were larger than the "trivia"; the medical-symptom "iceberg" was two to three times greater than the medical-symptom "trivia".

Adult↗