naa a22 4500 510740936 CHVBK 20180411083028.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0913-2 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0913-2 An evidence-based assessment of primary care needs in an economically deprived Urban community [Elektronische Daten] [C. Power, R. O'Connor, S. Dunne, P. Finucane, W. Cullen, C. Dunne] Background: As healthcare and longevity improve and fertility rates decline, we see a demographic shift towards a predominantly elderly population. Because ageing brings its own physiological changes and complications, the need arises for practical and feasible approaches in providing the healthcare required by this population. With government strategy promoting enhanced community-based healthcare, the development of primary care infrastructure should reflect population needs. Aims: To describe the profile of older patients attending a general practice in an underprivileged urban setting, specifically initial medical presentation, referrals for secondary care, and the medicines prescribed to them. To thereby enhance our understanding of the primary care requirements of elderly people in this setting. Methods: The anonymised records of an older patient cohort (n=427, age >55years) that presented to a General Practice over a 12-month period were retrospectively analysed to determine the nature of the clinical encounters, subsequent referral patterns and drugs prescribed. Results: There were 3,448 discrete clinical encounters (mean=8.0 per patient), predominantly for respiratory conditions, leading to 401 issued scripts and to 216 patients being referred for secondary care. Women were referred more often than men. There was a notable need for specialised dietary advice and drug prescribing was often complex. Conclusion: This study provides evidence of primary care needs in an economically deprived area of an Irish city highlighting the complexity of associated prescribing and secondary care referrals in this setting. Royal Academy of Medicine in Ireland, 2013 Evidence-based nationallicence Primary care nationallicence Economically deprived nationallicence Older people nationallicence Referral pattern nationallicence Secondary care nationallicence Prescribing nationallicence Power C. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut O'Connor R. Kileely General Practice and Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut Dunne S. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut Finucane P. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut Cullen W. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut Dunne C. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 457-461 0021-1265 182:3<457 2013 182 11845 https://doi.org/10.1007/s11845-013-0913-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0913-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Power C. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 700 1- O'Connor R. Kileely General Practice and Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 700 1- Dunne S. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 700 1- Finucane P. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 700 1- Cullen W. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 700 1- Dunne C. Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical School, University of Limerick, Limerick, Ireland aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 457-461 0021-1265 182:3<457 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer