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Biomedical subjects

M P Patten

Publications and source records attributed to M P Patten.

6 recordsLinked to original sources

Primary care teams and the elderly in Northern Ireland.

The results of a questionnaire were used to examine how primary care workers set about the management and surveillance of their elderly patients. The majority of practices had attached visitors (76 per cent) and attached district nurses (59 per cent), while 61 per cent of general practitioners worked in health centres. Over half of the responding practices had agesex registers. Few of the practices (14 per cent) had screened their elderly patients in the last five years and maintained an ;at-risk' register. Twenty per cent of practices held a regular meeting concerning their elderly patients but only half of these reviews involved the available health visitors and district nurses.At least half of the general practitioners and district nurses plus three quarters of the health visitors felt dissatisfied with the care of the elderly.A single and systematic review of elderly patients conducted jointly by general practitioners, health visitors and district nurses would do much to improve the care of this group of patients and the morale of these workers.

Aged↗

Terminal care in the home.

We report on a 16-week study of the terminal care given to 118 patients who died at home at the end of a chronic illness. We describe the clinical features of the care and how these were managed, we compare the doctors' and relatives' view of the patients' suffering and awareness of death, and we explore the implications of death at home for general practitioner, nursing and other support services and for the relatives who care for the patient.

Aged↗

An audit of prescribing by peer review.

This study describes how a group of general practitioners were made aware of their own prescribing habits. This was done by analysing carbon copies of prescriptions and reporting the analysis to a meeting of the doctors. The effects of this knowledge on subsequent prescribing were monitored.

Drug Utilization↗

Health centres assessed by patients.

This study consists of a postal questionnaire sent to patients attached to four practices in a health centre during the third year of operation after various exploratory studies and a series of group discussions. The study showed that about three out of four patients preferred health centre-practice to non health-centre practice. The appointment system as a cause of dissatisfaction with the health-centre concept is discussed. The doctor-patient relationship, privacy and confidentiality, and representation of patients on health-centre management committees were studied and are discussed.

Community Health Services↗