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Caring for nursing home patients--a primary care perspective.
E Corroon-Sweeney1, C Murphy, D R Collins
1William Stokes Unit /Age-Related Health Care, AMNCH, Tallaght, Dublin.
Irish Medical Journal
|January 30, 2010
Summary
General practitioners (GPs) in Ireland face challenges caring for nursing home patients, citing inadequate geriatric training and concerns about substandard care. Improved support and education are crucial for this growing vulnerable population.
Area of Science:
- Geriatric Medicine
- General Practice
- Healthcare Management
Background:
- Older adults in nursing homes are a vulnerable population with complex health needs.
- General practitioners (GPs) are responsible for the medical care of nursing home residents in Ireland.
- The proportion of elderly individuals in nursing homes is increasing.
Purpose of the Study:
- To identify current practices and challenges faced by GPs in caring for nursing home patients.
- To highlight the contractual, educational, and specialist support needs of GPs.
- To improve care for this vulnerable patient group.
Main Methods:
- A survey was conducted among 476 general practitioners in the Dublin city area.
- 186 GPs (39% response rate) completed the survey.
- The survey assessed perceived time requirements, prescription review practices, training adequacy, and experiences with substandard care.
Main Results:
- 54% of GPs felt nursing home patients require more contact time.
- 62% regularly reviewed repeat prescriptions for these patients.
- Only 60% felt adequately trained in geriatric medicine.
- 37% witnessed substandard care, with many not reporting it or only reporting to nursing home management.
Conclusions:
- GPs require enhanced geriatric medical training and better specialist support.
- Contractual frameworks may need adjustment to accommodate the needs of nursing home patients.
- Addressing substandard care requires clearer reporting mechanisms and accountability.
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