Limited options: a report on GP access to services

Shúilleabháin, A. Ní; O’Kelly, Mark; O'Kelly, Fergus Desmond; O’Dowd, Tom

doi:10.1007/s11845-007-0006-1

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…Though low, the response rate in the current study is comparable to similar Irish surveys in general practice reported in the literature [22]. In addition, the profile of characteristics for GPs responding to this survey (in terms of gender, age and rural/urban setting of practice) is similar to that reported for GPs nationally in a 2005 survey [23,24]. A t-test comparison revealed no significant differences for gender and total barrier scores; this may well be as a result of a type two error, due to small size.…”

Section: Discussionsupporting

confidence: 83%

General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

et al. 2010

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BackgroundSexual problems are common among people with coronary heart disease and can adversely affect patients' quality of life. GPs are ideally placed to deal with these problems. Research suggests that GPs are reluctant to address sexual problems but little is known about what currently takes place in practice. The aim of this study was to examine GPs' self-reported behaviour and attitudes to discussing sexual problems with people with coronary heart disease.MethodDesign: A cross-sectional survey which administered 230 postal questionnaires to a nationally representative, stratified random sample of GPs in the Republic of Ireland. GPs were asked about current practice, knowledge, awareness and confidence in dealing with sexual problems, barriers to addressing sexual problems, and about improving services in this area.ResultsResponses were available for 61 GPs (27% response rate). Seventy percent of GPs reported that they rarely or never discussed sexual problems with coronary patients. While all GPs believed addressing sexual problems was important, many GPs reported lacking awareness, knowledge and confidence in addressing sexual problems. The main barriers were lack of time, feeling the patient wasn't ready and lack of training in the area. GPs wanted more training and guidelines for practice.ConclusionsThere is currently no standardised protocol for GPs for dealing with sexual problems among coronary patients. Awareness of these issues appears to be low among GPs. Services could be improved by developing practice guidelines for brief, effective actions or assessments, providing training in the area and improving information resources and support services for referral.

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Section: Discussionsupporting

confidence: 83%

General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

et al. 2010

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“…This finding may be highlighting a 'compensation' effect, whereby the smaller and more remote HSE West practices with less access to secondary health-care services invest in a greater portfolio of services for their patients. Previous studies also report a higher availability of medical equipment in rural practices regardless of the type of health-care system [6,[35][36][37].…”

Section: Discussionmentioning

confidence: 89%

Prescribing and practice development decision-making in Irish general practices

Bourke

2015

Ir J Med Sci

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“…We speculate that the high proportion of shoulder and upper limb presentations to the rheumatology service might reflect the level of access to musculoskeletal services in primary care, which is varied across different geographical regions within the Irish health care system. One study of Irish GP access to physiotherapy services reported that only 58% of GPs in urban areas had access to physiotherapy services . Earlier referral to physiotherapy by the GP within primary care might have avoided referral to the rheumatology service within secondary care.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapist‐Led Triage at a Rheumatology‐Based Musculoskeletal Assessment Clinic: an 18‐Month Service Evaluation of Activity and Outcomes

Caffrey

Smart

FitzGerald

2019

ACR Open Rheumatology

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ObjectivePhysiotherapist‐led musculoskeletal triage clinics are an effective and efficient means of managing patients presenting with musculoskeletal disorders in primary and secondary care. Data regarding the activity and outcomes of physiotherapist‐led triage in hospital‐based outpatient rheumatology clinics are scarce. Thus, the aim of this study was to undertake a service evaluation of activity and outcomes of a physiotherapist‐led rheumatology‐based Musculoskeletal Assessment Clinic (MAC). The primary objective was to quantify the proportion of patients independently managed by the clinical specialist physiotherapists (CSPs).MethodsA retrospective service evaluation was undertaken of all patients who attended the Rheumatology MAC at St Vincent's University Hospital, Dublin (SVUH) between August 2012 and February 2014. The Clinical Audit Department of SVUH approved the study. Data were analyzed using descriptive statistics.ResultsFive hundred and eight patients attended the MAC: 76% were female and the mean age was 55 years and ranged between 18‐91. Seventy‐five percent of patients were independently managed by the CSP without needing to see a consultant rheumatologist, whereas 17% were referred to the rheumatology team. Eighty‐seven percent of patients referred to the rheumatology team had rheumatological intervention (eg, injection, medical management, or multidisciplinary rehabilitation). A substantially higher proportion of patients with regional musculoskeletal pain and degenerative conditions were independently managed by the CSP compared with those who had rheumatological/inflammatory conditions.ConclusionThe majority of patients who attended the MAC were independently managed by the physiotherapists, suggesting that physiotherapist‐led triage may be a useful and efficient means of managing a proportion of patients referred for a specialist rheumatological consultation.

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Limited options: a report on GP access to services

Abstract: Access to existing services must be increased, and significant resources must be put into the development of dedicated primary care services.

Cited by 9 publications

References 30 publications

General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

General practitioner views about discussing sexual issues with patients with coronary heart disease: a national survey in Ireland

Prescribing and practice development decision-making in Irish general practices

Physiotherapist‐Led Triage at a Rheumatology‐Based Musculoskeletal Assessment Clinic: an 18‐Month Service Evaluation of Activity and Outcomes

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