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Fund-holding general practices and old age psychiatry

  • Christopher F. Fear (a1) and Howard R. Cattell (a2)
Abstract

In a retrospective study, referrals to a community old age psychiatry service were obtained for local practices a year before and a year subsequent to the introduction of prospective general practitioner (GP) fund-holding. Although overall patterns of referral were the same, there was a significant reduction in domiciliary consultations requested by fund-holding GPs which was not balanced by a rise in other referrals. The findings suggest a shortfall in the number of referrals to old age psychiatry services in the light of GP fund-holding, prompting speculation as to the fate of those who would otherwise have been referred.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Colligan, G. Macdonald, A. Herzberg, J. et al (1993) An evaluation of the multidisciplinary approach to psychiatric diagnosis in elderly people. British Medical Journal, 306, 821–624.
DHSS (1981) National Health Service Hospital Medical and Dental Staff (England and Wales): terms and conditions of service. Revised edition. London: HMSO.
Jolley, D. J. (1993) Psychiatric services for elderly people. Doctors should be in the front line. (Letter) British Medical Journal 306, 1411.
Keeley, D. The fund-holding debate: should practices reconsider the decision not to fundhold? British Medical Journal 306, 697698.
Sutherby, K., Srinath, S. & Strathdee, G. (1992) The domiciliary consultation service: outdated anachronism or essential part of community psychiatric outreach? Health Trends, 24, 103105.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Fund-holding general practices and old age psychiatry

  • Christopher F. Fear (a1) and Howard R. Cattell (a2)
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