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© 1989 Oxford University Press

research-article

Geriatric Outpatient Clinics: an Audit of Clinical Action, Transport and General Practitioners' Views

I. P. DONALD and P. BERMAN

Department of Health Care of the Elderly, City Hospital Hucknall Road, Nottingham NG5 1PB

Address correspondence to: Dr I. P. Donald, Department of Geriatric Medicine, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN

An audit was performed of patients attending geriatric outpatient clinics for review during a calendar month. Patients were asked to complete a brief questionnaire and 93% of case notes were available for study. In 97 attendances, management was altered in 36, a new medical problem found in 16, and 49 patients were discharged. Forty-seven attendances followed recent discharge from hospital; 19 of these patients had no evident clinical benefit from attendance, although the majority were discharged. There may be scope for a liaison nurse to take over the follow-up of some patients to save their attending a clinic. A survey of local general practitioners suggested they would welcome this.

accepted in revised form September 10, 1988.


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