Primary care in nursing homes revisited: survey of the experiences of primary care physicians

Hdl Handle:
http://hdl.handle.net/10147/326171
Title:
Primary care in nursing homes revisited: survey of the experiences of primary care physicians
Authors:
Gleeson, LE; Jennings, S; Gavin, R; McConaghy, D; Collins, DR
Citation:
Gleeson LE et al. Primary care in nursing homes revisited: survey of the experiences of primary care physicians. IMJ 2014 107(8)
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2014
URI:
http://hdl.handle.net/10147/326171
Abstract:
The Irish Health Information and Quality Authority (HIQA) published National Quality Standards for Residential Care Settings for Older People in 2009. We reported on experiences of general practitioners (GPs) in Dublin caring for nursing home patients (NHPs) in 2006. We revisit these experiences following publication of HIQAâ s standards. 400 GPs received an anonymous postal survey. Of 204 respondents, 145 (71%) felt NHPs required more contact time and 124 (61%) reported more complex consultations compared to other patients. Only 131 (64%) felt adequately trained in gerontology. 143 (70%) reported access to specialist advice, but only 6 (3%) reported a change in this following HIQA standards. 65 (32%) had witnessed substandard care in a NH, of which 16 (25%) made no report, similar figures to 2006. There remains similar levels of concern regarding patient complexity, substandard care, access to specialist support and training in the care of NHPs. Many GPs expressed uncertainty regarding their role in implementing HIQA standards.
Item Type:
Article
Language:
en
Keywords:
NURSING HOMES; PRIMARY CARE SERVICE

Full metadata record

DC FieldValue Language
dc.contributor.authorGleeson, LEen_GB
dc.contributor.authorJennings, Sen_GB
dc.contributor.authorGavin, Ren_GB
dc.contributor.authorMcConaghy, Den_GB
dc.contributor.authorCollins, DRen_GB
dc.date.accessioned2014-09-16T11:58:28Z-
dc.date.available2014-09-16T11:58:28Z-
dc.date.issued2014-09-
dc.identifier.citationGleeson LE et al. Primary care in nursing homes revisited: survey of the experiences of primary care physicians. IMJ 2014 107(8)en_GB
dc.identifier.urihttp://hdl.handle.net/10147/326171-
dc.description.abstractThe Irish Health Information and Quality Authority (HIQA) published National Quality Standards for Residential Care Settings for Older People in 2009. We reported on experiences of general practitioners (GPs) in Dublin caring for nursing home patients (NHPs) in 2006. We revisit these experiences following publication of HIQAâ s standards. 400 GPs received an anonymous postal survey. Of 204 respondents, 145 (71%) felt NHPs required more contact time and 124 (61%) reported more complex consultations compared to other patients. Only 131 (64%) felt adequately trained in gerontology. 143 (70%) reported access to specialist advice, but only 6 (3%) reported a change in this following HIQA standards. 65 (32%) had witnessed substandard care in a NH, of which 16 (25%) made no report, similar figures to 2006. There remains similar levels of concern regarding patient complexity, substandard care, access to specialist support and training in the care of NHPs. Many GPs expressed uncertainty regarding their role in implementing HIQA standards.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectNURSING HOMESen_GB
dc.subjectPRIMARY CARE SERVICEen_GB
dc.titlePrimary care in nursing homes revisited: survey of the experiences of primary care physiciansen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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