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Measuring patient attitudes in a comprehensive health care setting.

Systematic patient feedback is important for assessing the impact of existing hospital policy on patients and for providing a base for continuing inservice training of personnel. Health professionals need to have knowledge of patient attitudes about quality of care, interpersonal relations, treatment methods, health status and rights, and the health facility process. A unique combination of the Rosenberg-Fishbein, AID, and psychographic models has considerable promise for objective measurement of patient attitudes over a wide range of health care activities. The model is discussed in terms of a recent patient attitude survey conducted at a major consolidated health care agency in an SMSA of the southeast which provides common management policy and consolidated financial services for two separate hospital facilities.

Adult↗

Geriatric interventions: the evidence base for comprehensive health care services for older people.

Specialist geriatric services apply a comprehensive, multidisciplinary evaluation and management approach to the multidimensional and usually interrelated medical, functional and psychosocial problems faced by at-risk frail elderly people. This paper examines currently available data on geriatric interventions and finds ample evidence supporting both the efficacy and the cost-effectiveness of these specialist interventions when utilised in appropriately targeted patients. It is proposed that substantial investment in these programs is required to meet the future demands of Australia's ageing population.

Aged↗

Adolescents with chronic disease. Are they receiving comprehensive health care?

A survey of adolescents with a chronic disease attending six specialty clinics was conducted to determine the sources of their primary health care and to estimate the extent of unmet health needs. Sixty-one patients completed a self-administered questionnaire. Forty percent had no source of primary care other than the subspecialty clinic treating their chronic condition. Seventy-eight percent regarded the subspecialist as their "personal" physician, although only 27% actually spoke to this physician about their general health needs. For 44% general health needs were not being met. These findings suggest that these adolescents expect the subspecialty clinic to provide primary care; yet they receive, at best, fragmented health care. This situation could be improved by a decision on the part of the subspecialty to restrict its role to providing only specific specialty care or to coordinate overall care.

Adolescent↗