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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
4
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pubmed:dateCreated |
1992-5-29
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pubmed:abstractText |
We surveyed medical directors of primary care clinics in California to learn how those clinics cared for their frail older patients. Of 143 questionnaires sent, 127 (89%) were returned. A median of 30% of all patient encounters were with persons aged 65 or older, and a median of 20% of older patients were considered frail. A total of 20% of the clinics routinely provided house calls to homebound elderly patients. Of clinics involved in training medical students of physicians (teaching clinics), 70% had at least one physician with an interest in geriatrics, compared with 42% of nonteaching clinics (P less than .005). For frail patients, 40% of the clinics routinely performed functional assessment, while 20% routinely did an interdisciplinary evaluation. Continuing education in geriatrics emerged as a significant independent correlate of both functional assessment and interdisciplinary evaluation. Among the 94 clinics with a standard appointment length for the history and physical examination, only 11 (12%) allotted more than 60 minutes for frail patients. The data suggest that certain geriatric approaches are being incorporated into clinic-based primary care in California but do not provide insight into their content or clinical effects.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3108747,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3280648,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3346890,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3403876,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3403877,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3553286,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3574423,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3826104,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3846809,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-3946984,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-6390207,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-6413888,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-6501764,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-6655177,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-672272,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-6823030,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-7144272,
http://linkedlifedata.com/resource/pubmed/commentcorrection/1574881-763001
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0093-0415
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
156
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
385-91
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:1574881-Aged,
pubmed-meshheading:1574881-Ambulatory Care Facilities,
pubmed-meshheading:1574881-Appointments and Schedules,
pubmed-meshheading:1574881-California,
pubmed-meshheading:1574881-Community Health Centers,
pubmed-meshheading:1574881-Education, Medical, Continuing,
pubmed-meshheading:1574881-Frail Elderly,
pubmed-meshheading:1574881-Geriatrics,
pubmed-meshheading:1574881-Group Practice,
pubmed-meshheading:1574881-Hospitals, County,
pubmed-meshheading:1574881-Hospitals, Private,
pubmed-meshheading:1574881-Hospitals, Veterans,
pubmed-meshheading:1574881-House Calls,
pubmed-meshheading:1574881-Humans,
pubmed-meshheading:1574881-Medical History Taking,
pubmed-meshheading:1574881-Medicare Assignment,
pubmed-meshheading:1574881-Outpatient Clinics, Hospital,
pubmed-meshheading:1574881-Patient Care Planning,
pubmed-meshheading:1574881-Physical Examination,
pubmed-meshheading:1574881-Primary Health Care,
pubmed-meshheading:1574881-Social Work,
pubmed-meshheading:1574881-Time Factors,
pubmed-meshheading:1574881-United States
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pubmed:year |
1992
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pubmed:articleTitle |
Clinic-based primary care of frail older patients in California.
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pubmed:affiliation |
Division of General Medicine, University of California, Davis, School of Medicine.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, Non-P.H.S.,
Research Support, Non-U.S. Gov't
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