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Biomedical subjects

M Varnam

Publications and source records attributed to M Varnam.

9 recordsLinked to original sources
PubMed1993

Integrating the single homeless into mainstream general practice.

This paper describes the findings from a programme in central Nottingham, which aimed to provide non-institutionalised health services to single homeless people. The results show a high degree of acceptance of the programme by such people. It is argued that involvement in existing mainstream health services is particularly appropriate for the growing number of young people who are homeless, and for whom there is hope of rehabilitation within the community.

Demography↗
PubMed1989

A request for the 'morning-after' pill.

A request for post-coital contraception may be the first consultation by a young girl for contraceptive advice. The problem may be used as an opportunity to discuss other relevant issues such as AIDS. The case will need sympathetic and sensitive handling and demands consideration of confidentiality, especially in Samantha's case as she is only 15.

Adolescent↗
PubMed1989

Referrals and relationships in Sri Lankan general practice.

A detailed questionnaire was sent to the 347 members of the two professional bodies of general practitioners in Sri Lanka. A second questionnaire was sent to 123 of the responders two months later. The number of referrals to and from general practitioners are reported. No form of contact occurred for any of the referrals to general practitioners or for 20% of the referrals to secondary care services. The frequency and perceived value of contacts between general practitioners and others are reported. Factors which might lead to improving the referral pattern and relationships of general practitioners with their colleagues in Sri Lanka are discussed.

Attitude of Health Personnel↗
PubMed1987

Role and responsibilities of general practitioner organisers of continuing medical education.

A total of 359 general practitioner organisers of continuing medical education in England and Wales were sent a questionnaire on their role and responsibilities in 1985; 206 with relevant duties replied. The results of the survey showed that they were playing an effective part in planning, organising, and evaluating educational activities at district level, that many were highly qualified and experienced general practitioners, and that many had previously been concerned in vocational training. Less than half had undergone formal training for their continuing education role. Only 105 (51%) were appointed district general practitioner tutors. They were more active in postgraduate centres than in practice based education. Almost a quarter (49) spent three to five hours a week on their educational duties, but 111 (54%) spent fewer hours. Although well provided with educational resources, few had any control over district educational funds, and over half lacked office space. As to remuneration, 161 (78%) received 500 pounds or less a year and almost two thirds received no reimbursement for expenses. Most had no job description. Attention is drawn to the case for appointing general practitioner organisers of continuing medical education ("district general practice tutors") in all districts of England and Wales, to their role in improving the participation of general practitioners in continuing medical education, and to the urgent need for a national agreement on their job description, preparation, support, and remuneration.

Education, Medical, Continuing↗
PubMed1987

Teamwork in Sri Lankan general practice.

This paper reports part of a study to investigate the organization of general practice in Sri Lanka with particular reference to teamwork. Questionnaires were sent to 347 members of the two bodies representing general practitioners and to a further 43 doctors who were identified as providing either traditional or Western primary medical care in a defined population. A response rate of 74.2% was obtained. All practitioners of traditional (Ayurvedic) medicine were single-handed and 54.4% of members of the College of General Practitioners in Sri Lanka also worked on their own. All ancillary staff were employed by the practitioner and the mean number of staff was 3.1. Multifactor comparison was undertaken. More staff were employed by practitioners who were under 45 years old, who lived within five miles of a hospital, and who had in-patient facilities. Questions are posed concerning the development of team care in Sri Lanka.

Family Practice↗
PubMed1987

Primary medical care in Sri Lanka: hospital or general practice?

A study was undertaken to compare aspects of patient care in private general practice and in a hospital emergency care clinic in Sri Lanka. General practitioners were found to spend more time with each patient, were more likely to write some kind of patient record and were more likely to carry out immunizations and investigations. They prescribed less and referred to specialists less than their colleagues in hospital primary care. In concluding that general practitioners in Sri Lanka provide an important part of primary care the 'orthodox' view that developing countries cannot afford this type of system is challenged.

Family Practice↗