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The Journal of the Royal College of General Practitioners logoLink to The Journal of the Royal College of General Practitioners
. 1986 Dec;36(293):567–570.

Patterns of care for the elderly in general practice

David Wilkin, E Idris Williams
PMCID: PMC1960653  PMID: 3668910

Abstract

Little is known about the care provided for the elderly by general practitioners. This study is based on data from 89 030 consultations with patients of all ages of which 17 771 were with patients over 65 years of age. It was found that general practitioners carry out more follow-up work with their elderly patients than with their younger patients and they make more home visits and referrals to nursing and social services. However, they do less investigative work with elderly patients and the level of referral to consultants is the same for patients of all ages. Considerable variation was found between doctors in the pattern of care provided for older patients. The proportion of elderly patients on the list of a general practitioner had little effect on his overall workload. The implications of these findings for health service research and planning are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barber J. H., Wallis J. B. The benefits to an elderly population of continuing geriatric assessment. J R Coll Gen Pract. 1978 Jul;28(192):428–433. [PMC free article] [PubMed] [Google Scholar]
  2. Burns C. Geriatric care in general practice. A medicosocial survey of 391 patients undertaken by health visitors. J R Coll Gen Pract. 1969 Nov;18(88):287–296. [PMC free article] [PubMed] [Google Scholar]
  3. Characteristics of patients aged over 75 not seen during one year in general practice. Br Med J (Clin Res Ed) 1984 Feb 25;288(6417):645–645. doi: 10.1136/bmj.288.6417.645-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Dawson J. P. Consultations and treatment in the elderly. Practitioner. 1980 May;224(1343):466–467. [PubMed] [Google Scholar]
  5. Ebrahim S., Hedley R., Sheldon M. Low levels of ill health among elderly non-consulters in general practice. Br Med J (Clin Res Ed) 1984 Nov 10;289(6454):1273–1275. doi: 10.1136/bmj.289.6454.1273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Freer C. B. Care of the elderly. Old myths. Lancet. 1985 Feb 2;1(8423):268–269. doi: 10.1016/s0140-6736(85)91039-6. [DOI] [PubMed] [Google Scholar]
  7. Knox J. D., Anderson R. A., Jacob A., Campion P. D. General practitioner's care of the elderly: studies of aspects of workload. J R Coll Gen Pract. 1984 Apr;34(261):194–198. [PMC free article] [PubMed] [Google Scholar]
  8. WILLIAMSON J., STOKOE I. H., GRAY S., FISHER M., SMITH A., MCGHEE A., STEPHENSON E. OLD PEOPLE AT HOME. THEIR UNREPORTED NEEDS. Lancet. 1964 May 23;1(7343):1117–1120. doi: 10.1016/s0140-6736(64)91803-3. [DOI] [PubMed] [Google Scholar]
  9. Wilkin D., Metcalfe D. H., Hallam L., Cooke M., Hodgkin P. K. Area variations in the process of care in urban general practice. Br Med J (Clin Res Ed) 1984 Jul 28;289(6439):229–232. doi: 10.1136/bmj.289.6439.229. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Wilkin D., Metcalfe D. H. List size and patient contact in general medical practice. Br Med J (Clin Res Ed) 1984 Dec 1;289(6457):1501–1505. doi: 10.1136/bmj.289.6457.1501. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Williams E. I. Characteristics of patients aged over 75 not seen during one year in general practice. Br Med J (Clin Res Ed) 1984 Jan 14;288(6411):119–121. doi: 10.1136/bmj.288.6411.119. [DOI] [PMC free article] [PubMed] [Google Scholar]

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