OBJECTIVE Neurosurgical resources are concentrated in tertiary referral centers, whereas emergencies identified from district general hospitals are traditionally referred by telephone consultation (TC). Recent advances in communication technology offer the alternative options of teleradiology (TR) and video consultation (VC). This study aimed to determine the differences among these three consu...

Objective To establish how consultation rates in children for episodes of illness, preventive activities, and home visits vary by social class. Design Analysis of prospectively collected data from the fourth national survey of morbidity in general practice, carried out between September 1991 and August 1992. Setting 60 general practices in England and Wales. Subjects 106 102 children aged 0 to ...

OBJECTIVE Collaboration between psychiatry and palliative medicine has the potential to enhance the quality of medical practice. The integration between palliative care and psychiatry has been attempted only in discrete medical settings and is not yet firmly established as an institution. Our objective was to determine the availability and degree of integration between psychiatric consultation-...

BACKGROUND The purpose of this study was to investigate the consultation psychiatry service to the Obstetrics and Gynecology Department in a general hospital, focusing on referral patterns and consultation recommendations. METHOD A retrospective review of the medical charts and consultation records of obstetric and gynecological patients referred for psychiatric consultation from Dec. 2003 to...

OBJECTIVE To examine whether gender differences in primary care consultation rates (1) vary by age and deprivation status and (2) diminish when consultation for reproductive reasons or common underlying morbidities are accounted for. DESIGN Cross-sectional study of a cohort of patients registered with general practice. SETTING UK primary care. SUBJECTS Patients (1 869 149 men and 1 916 89...

anxiety is a common mental disorder of pregnancy leading to adverse maternal and fetal pregnancy outcomes. hence, preparation of effective approaches for reduction of anxiety is an issue of importance. accordingly, this study was performed to determine the efficacy of group obstetric consultation on anxiety control in pregnant women in non-severe cases. in this randomized clinical trial, 90 pre...

the article of marc jamoulle shows the importance of the contribution of general practitioners (gps) in improving the quality and the efficiency of the health systems. starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the gp in order to have a stronger ethical approach to the ...

The consultation rate in general practice is closely related to age. Lees and Cooper (1963), taking stock of 37 studies of general practices, commented that overall the patterns for consultation rates took the form of a step ladder for females, and a step ladder, broken by a dip in the 15-45 years age group, for males. Both distributions reached a maximum in the 65 plus group. The Research Comm...