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Titolo:
Shared patients: multiple health and social care contact
Autore:
Keene, J; Swift, L; Bailey, S; Janacek, G;
Indirizzi:
Univ E Anglia, Norwich NR4 7TJ, Norfolk, England Univ E Anglia Norwich Norfolk England NR4 7TJ h NR4 7TJ, Norfolk, England
Titolo Testata:
HEALTH & SOCIAL CARE IN THE COMMUNITY
fascicolo: 4, volume: 9, anno: 2001,
pagine: 205 - 214
SICI:
0966-0410(200107)9:4<205:SPMHAS>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTICE; SUBSTANCE-ABUSE; EMERGENCY; ACCIDENT; SERVICES; VIOLENCE;
Keywords:
accident and emergency; multidisciplinary; multiple service use; shared patients;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Keene, J Dept Hlth & Social Care, Bulmershe Court, Reading RG6 1HY, Berks,England Dept Hlth & Social Care Bulmershe Court Reading Berks England RG6 1HY
Citazione:
J. Keene et al., "Shared patients: multiple health and social care contact", HEAL SOC C, 9(4), 2001, pp. 205-214

Abstract

The paper describes results from the 'Tracking Project', a new method for examining agency overlap, repeat service use and shared clients/patients amongst social and health care agencies in the community. This is the first project in this country to combine total population databases from a range of social, health care and criminal justice agencies to give a multidisciplinary database for one county (n = 97 162 cases), through standardised anonymisation of agency databases, using SOUNDEX, a software programme. A range of 20 community social and health care agencies were shown to have a large overlap with each other in a two-year period, indicating high proportions of shared patients/clients. Accident and Emergency is used as an example of major overlap: 16.2% (n = 39 992) of persons who attended a community agency had attended Accident and Emergency as compared to 8.2% (n = 775 000) of the total population of the county. Of these, 96% who had attended seven ormore different community agencies had also attended Accident and Emergency. Further statistical analysis of Accident and Emergency attendance as a characteristic of community agency populations (n = 39 992) revealed that increasing frequency of attendance at Accident and Emergency was very stronglyassociated with increasing use of other services. That is, the patients that repeatedly attend Accident and Emergency are much more likely to attend more other agencies, indicating the possibility that they share more problematic or difficult patients. Research questions arising from these data arediscussed and future research methods suggested in order to derive predictors from the database and develop screening instruments to identify multiple agency attenders for targeting or multidisciplinary working. It is suggested that Accident and Emergency attendance might serve as an important predictor of multiple agency attendance.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 04:11:39