A survey of domiciliary consultations in medicine for the elderly. 1995

M Reardon, and R Holmon, and G Dewhurst
St. Richard's Hospital, Chichester, West Sussex.

The objective of this study was to assess the value of domiciliary consultations carried out by two hospital physicians for care of the elderly, using the resulting admission rates as one of the criteria. The action taken by the physicians on domiciliary visits was also studied. Data were collected retrospectively from all the domiciliary consultations done by the two departmental physicians from January 1992 to December 1992. From totals of 184 and 268 domiciliary consultations only 14.1% and 11.2% of patients seen respectively by consultant 1 and consultant 2 were admitted acutely to hospital. Overall, consultant 1 had something to offer in 92.4% of his domiciliary visits and consultant 2 took action in 81.3% of his domiciliary consultations. Most of the GP practices in the area used the service and only one practice was responsible for more than 10% of one consultant's domiciliary consultations. Domiciliary consultations form a useful service in medicine for the elderly and admission rates to hospital from these visits are low.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010044 Outpatient Clinics, Hospital Organized services in a hospital which provide medical care on an outpatient basis. Ambulatory Care Facilities, Hospital,Hospital Outpatient Clinics,Clinic, Hospital Outpatient,Clinics, Hospital Outpatient,Hospital Outpatient Clinic,Outpatient Clinic, Hospital
D012017 Referral and Consultation The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide. Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions
D004739 England A part of Great Britain within the United Kingdom.
D005260 Female Females
D006299 Health Services for the Aged Services for the diagnosis and treatment of diseases in the AGED and the maintenance of health in the ELDERLY. Age-Friendly Health Care,Age-Friendly Health Services,Age-Friendly Health Systems,Geriatric Health Care,Geriatric Health Services,Geriatric Health Systems,Health Care for the Aged,Health Systems for the Aged,Health Services for Aged,Health Services for the Elderly,Health Services, Geriatric,Age Friendly Health Care,Age Friendly Health Services,Age Friendly Health Systems,Age-Friendly Health Cares,Age-Friendly Health Service,Age-Friendly Health System,Care, Age-Friendly Health,Care, Geriatric Health,Cares, Age-Friendly Health,Cares, Geriatric Health,Geriatric Health Cares,Geriatric Health Service,Geriatric Health System,Health Care, Age-Friendly,Health Care, Geriatric,Health Cares, Age-Friendly,Health Cares, Geriatric,Health Service, Age-Friendly,Health Service, Geriatric,Health Services, Age-Friendly,Health System, Age-Friendly,Health System, Geriatric,Health Systems, Age-Friendly,Health Systems, Geriatric,Service, Age-Friendly Health,Service, Geriatric Health,Services, Age-Friendly Health,Services, Geriatric Health,System, Age-Friendly Health,System, Geriatric Health,Systems, Age-Friendly Health,Systems, Geriatric Health
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006792 House Calls Visits to the patient's home by professional personnel for the purpose of diagnosis and/or treatment. Home Visits,Call, House,Calls, House,Home Visit,House Call,Visit, Home,Visits, Home
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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