Abstract
The rationale of the general practitioner hospital continues to be questioned. A study of the services and case-mix of two of the four remaining general practitioner hospitals in Northern Ireland was undertaken to determine whether the nature and cost of inpatient care in these hospitals was comparable to the available alternatives. The case-notes of all non-maternity admissions (n = 509) were reviewed. The two hospitals provide acute medical care for a wide range of patients. The majority of patients appeared to require hospitalisation. It is likely that the beds at the two hospitals were mainly a substitute for district general hospital care. The general practitioner hospitals were estimated to be less costly than alternative forms of care, although it was doubtful whether they fulfilled all the structural criteria of quality generally regarded as important for hospitals of this type.
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Selected References
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- Grant J. A. Community hospitals--time to come off the fence. J R Coll Gen Pract. 1989 Jun;39(323):226–227. [PMC free article] [PubMed] [Google Scholar]
- Kernick D. P., Davies S. E. The community hospital: a three-year study. Br Med J. 1976 Nov 20;2(6046):1243–1245. doi: 10.1136/bmj.2.6046.1243. [DOI] [PMC free article] [PubMed] [Google Scholar]
- North N. T., Hall D. J., Kearns W. E. First year of an inner city general practitioner community hospital. Br Med J (Clin Res Ed) 1984 Apr 21;288(6425):1209–1211. doi: 10.1136/bmj.288.6425.1209. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith J. W., O'Donovan J. B., Hoyle G., Clegg D. F., Khalid T. Comparative study of district and community hospitals. Br Med J. 1973 May 26;2(5864):471–474. doi: 10.1136/bmj.2.5864.471. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Trevelyan M. H., Cook J. Use of acute medical and general-practitioner beds by the practitioners working in one new town. J R Coll Gen Pract. 1974 Jul;24(144):477–487. [PMC free article] [PubMed] [Google Scholar]