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At least 739 records · Page 41Linked to original sources
PubMed1989

Referrals and notifications by optometrists within the UK: 1988 survey.

In a survey of nearly 75,000 eye examinations, 6% of patients were referred to a medical doctor and the doctor was notified in a further 2% of cases. The level of referral was 2% higher than in 1986; 70% of referrals were the result of reminders or periodic attendances, and 80% of those referred were over 40 years of age. The general pattern of referral was broadly in agreement with a survey conducted in 1986 but indicates that some categories of eye conditions are being referred at a higher rate.

Adolescent↗
PubMed1991

Physician response to notification of acute problems in nursing homes.

A frequently cited example of physicians' alleged disinterest in nursing home patients is their failure to respond rapidly or appropriately to telephone calls about acute events or important changes in patient status. This study of 45 SNFs and their 15 attached ICFs evaluated the length of time required to reach physicians by phone about significant clinical changes in patients' conditions and the appropriateness and timeliness of action taken by the physicians once contact was made. Calls on administrative matters, updating of orders, and similar routine calls were excluded. Seven hundred and fifty calls were identified from 24-hour nursing reports; the nature of the problem and the time and details of physicians' responses were recorded from patient charts. Judgment on the quality of physicians' responses was made by consensus of the regional UR committee except in the case of infections where decisions were based on detailed criteria developed in a previous study. The most frequent clinical problems were acute infections (32%), trauma (12%), GI tract disorders (11%), cardiorespiratory problems (10%), neurological disorders (7%), and diabetic control (7%). Results were very encouraging: 96% of physicians' call-backs and actions were judged to be timely, and 87% of physicians' actions taken were judged to be appropriate. However, actions taken were judged inappropriate for certain specific clinical problems, ie, in 22% (54/243) of infections, 24% (4/17) of CVA's, and 12% (6/49) of diabetic control problems. Implications for nursing home care and recommendations for improving the response to acute problems are discussed.

Aged↗
PubMed1989

Notification of workers at high risk. Design and implementation of a program to address their needs.

I believe the high-risk bill is an opportunity to protect the health and well-being of the millions of workers who have been exposed to a myriad of chemicals that we know have the potential for disease. The practical details of implementing such a bill call for a high degree of sensitivity during the implementation of the program to the issues I have outlined; otherwise, its potential for good will possibly be swamped by frustration, miscommunication, and misunderstanding, and this will result in the provision of less than high-quality care for a group of people who deserve the best care and consultation available.

Communication↗
PubMed1994

Tuberculosis in children: a national survey of notifications in England and Wales in 1988. Medical Research Council Cardiothoracic Epidemiology Group.

A survey of all notified cases of tuberculosis in England and Wales in children (less than 15 years old) in 1988 was undertaken to study changes in the frequency and distribution of disease in the population since similar surveys in 1978-9 and 1983. There were 294 children with newly notified previously untreated tuberculosis, an annual rate of 3.1/100,000. Children of Indian, Pakistani, and Bangladeshi (Indian subcontinent) ethnic origin formed the largest group (134 (46%)), but only 29 (22%) of these children were born outside the UK. The rate for children of Indian subcontinent ethnic origin born abroad (53/100,000) was twice that for those born in the UK (26/100,000), but the latter was 17 times higher than the rate for white children (1.5/100,000). These ratios have changed little since the first survey in 1978-9 and highlight the need for improvement in the prevention and control of tuberculosis in children known to be at increased risk.

Adolescent↗