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Related Experiment Videos

Identifying handicapped people in general practice.

M D Warren

    The Journal of the Royal College of General Practitioners
    |November 1, 1976
    PubMed
    Summary
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    This study assessed methods for identifying handicapped individuals in a general practice. Postal surveys revealed inaccuracies in age-sex registers, highlighting challenges in comprehensive disability identification.

    Area of Science:

    • Public Health
    • Epidemiology
    • General Practice Research

    Background:

    • Accurate identification of handicapped individuals is crucial for resource allocation and healthcare planning.
    • Existing methods for identifying disability within general practice populations have limitations.

    Purpose of the Study:

    • To evaluate the effectiveness of using a general practice's age-sex register combined with postal and interview enquiries to identify handicapped individuals.
    • To assess the utility of a practice diagnostic index and patient medical records for disability ascertainment.

    Main Methods:

    • A postal and follow-up interview survey was conducted using the age-sex register of a group medical practice.
    • Impaired individuals identified were interviewed regarding their condition, activities, and underlying diagnoses.

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  • Diagnoses were cross-referenced with general practitioners' records and recollections.

    • Main Results:

    • The age-sex register exhibited significant deficiencies, with 13.5% of mail returned as undeliverable.
    • Of respondents, 81.5% identified 353 impaired individuals, whose demographic distribution mirrored other surveys.
    • A diagnostic index aided identification for some conditions, but many potentially disabling or handicapped individuals were missed.

    Conclusions:

    • Relying solely on age-sex registers and diagnostic indexes is insufficient for comprehensive identification of handicapped populations.
    • A combination of methods, including direct patient contact, is necessary but still may miss a substantial number of individuals.
    • Further refinement of screening and data collection methods is needed to improve disability ascertainment in primary care settings.