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Related Experiment Videos

Assessing the denominator problem in community-oriented primary care.

W R Gillanders1, T F Buss, D Gemmel

  • 1Family Medicine Center, St. Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.

Family Medicine
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

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Physician patient data may represent community health needs, but differences exist. Elderly patients in a family health center were similar to community elders, suggesting cautious use for community-oriented primary care planning.

Area of Science:

  • Gerontology
  • Public Health
  • Primary Care Research

Background:

  • Determining community health care needs is vital for community-oriented primary care (COPC).
  • Physicians often generalize patient registry data due to limited research resources.
  • Practice populations may differ significantly from the broader community population.

Purpose of the Study:

  • To compare demographics, health status, and medical care utilization between community-dwelling elderly and elderly patients at a family health center.
  • To assess the representativeness of a family health center's elderly patient population for community-oriented primary care planning.

Main Methods:

  • A comparative study involving 990 community-dwelling elderly individuals and 250 elderly patients from St. Elizabeth Hospital Family Health Center.

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  • Data collection included demographic characteristics, functional status, chronic medical conditions, symptomatology, health aide use, subjective health status, depression, and stress.
  • Analysis focused on identifying statistically significant differences between the two groups.
  • Main Results:

    • Community and patient registry demographics were comparable.
    • Statistically significant differences were found in functional status and certain chronic medical conditions.
    • Symptomatology, health aide use, subjective health, depression, and stress showed no significant differences; overall health care utilization patterns were similar.

    Conclusions:

    • Elderly family health center patients were more representative of the non-institutionalized community elderly than anticipated.
    • Practice populations may be cautiously used for community-oriented primary care planning, but further research is needed.
    • Extensive research across diverse practice settings is required before widespread application of using practice populations for COPC planning.