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Disability as identified from general practice records.

D M Fleming, C P Elliott-Binns

    British Medical Journal (Clinical Research Ed.)
    |January 26, 1985
    PubMed
    Summary
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    This study identified 242 disabled individuals, revealing a prevalence of 32 per 1000 population. Medical and nursing needs were met, but social needs, particularly for those living alone, require more attention.

    Area of Science:

    • Public Health
    • Epidemiology
    • Disability Studies

    Background:

    • Understanding the prevalence and characteristics of disability is crucial for public health planning.
    • Previous studies, such as Harris's, have used different methodologies to estimate disability rates.
    • Defining disablement as a major disruption to normal lifestyle provides a consistent framework for identification.

    Purpose of the Study:

    • To estimate the prevalence of disablement in a defined population.
    • To explore demographic patterns in disablement, including sex differences.
    • To assess the healthcare and social support needs of disabled individuals.

    Main Methods:

    • A survey involving 38 doctors who reviewed 7000 patient records.
    • Identification of disabled patients based on a defined criterion of lifestyle disruption.

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  • Data collection on patient demographics, healthcare utilization, and support systems.
  • Main Results:

    • 242 disabled individuals were identified, yielding a prevalence rate of 32 per 1000 population.
    • Higher rates of disablement were noted in men aged 15-64, with potential underestimation in women (housewives).
    • Most disabled individuals accessed doctor's surgeries (52%) and received regular medication (72%), with high dependence on relatives (79%) but lower reliance on statutory services (30%).

    Conclusions:

    • The prevalence of disablement is significant, aligning with previous research.
    • Healthcare and nursing needs appear adequately met, but social support systems require enhancement, especially for those living independently.
    • Further research is needed to address potential underrecognition of disability in specific groups, such as housewives.