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Biomedical subjects

J F Grace

Publications and source records attributed to J F Grace.

6 recordsLinked to original sources

Referral to hospital: perceptions of patients, general practitioners and consultants about necessity and suitability of referral.

A sample of new referrals from general practitioners to hospital specialists was examined from the points of view of the patient, general practitioner and consultant concerned with regard to the adequacy of the general practitioners' performance before referral, his ability to have managed without referral and the suitability of the specialist seen. Little agreement was found between the opinions expressed by the three groups, although some of the opinions expressed within the groups were found to be associated with characteristics of the groups.

Consultants

Reasons for referral to hospital: extent of agreement between the perceptions of patients, general practitioners and consultants.

A sample of referrals to hospital out-patient clinics by general practitioners was examined from the points of view of the patient, general practitioner and consultant with regard to the perceived reason for the referral. A considerable degree of disagreement was found between the opinions of the three parties involved. Possible explanations for, and the consequences of this lack of agreement are considered and certain remedies suggested.

Consultants

General practice management of childhood urinary tract infection.

The incidence of urinary tract infections (UTI) in the paediatric population of a group practice was recorded. A questionnaire involving two case studies was sent to general practitioners and paediatric consultants in the region to assess the management of children suspected of having UTI and the attitudes to referral of these cases to the paediatrician. Disturbing inconsistencies in the management plans were found among both general practitioners and consultants. The reasons for these inconsistencies and the implications arising from them are discussed.

Child

An examination of the prescribed therapeutic experience of five-year-olds in general practice.

The number and therapeutic grouping of prescriptions given to children before reaching their fifth birthday were examined. The records of 92 children were looked at. Between them they had received 1,241 individual prescriptions of which 33 per cent were for antibiotics, and 31 per cent for an antihistamine or cough linctus. Ninety-six per cent of the children had received at least one course of antibiotics and the average child 4.5 courses (SD +/- 3.9); 89 per cent had received an antihistamine or cough linctus, and 50 per cent a skin preparation.

Child, Preschool