An uncompromising report on health visiting for the elderly.

Barley, S. L.

doi:10.1136/bmj.294.6572.595

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…In many areas the current numbers of health visitors have difficulty in providing comprehensive services for children. Although several studies have shown that health visitor surveillance of the elderly is effective (16,31), it has been calculated that if implemented nationally it would require between 3,000 and 6,000 more health visitors in addition to the 9,000 currently in post (4). It is therefore unlikely that health visitors will be able to make a significant contribution in the short term, but there is pressure to increase their numbers in the long term to meet this need (6).…”

Section: Discussionmentioning

confidence: 99%

Deaths in winter: Can Britain learn from Europe?

McKee

1989

Eur J Epidemiol

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There is a substantial increase in the number of deaths in winter in the United Kingdom. This is also seen in some, but not all, European countries. Almost 60% of the variation among countries can be explained by the minimum average monthly temperature and the gross national product per capita. Seasonal variation is lowest in those countries with cold winters, suggesting that insulation may be important. It is also low in the more wealthy countries. The implications for health service policy of these finding are discussed. Some of the residual variation may be explained by known factors, such as low cost geo-thermal energy in Iceland, but much remains unexplained. There is a need for more research in this field.

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Section: Discussionmentioning

confidence: 99%

Deaths in winter: Can Britain learn from Europe?

McKee

1989

Eur J Epidemiol

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A Community Survey of Diabetes in the Elderly

et al. 1992

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All 98 elderly patients who were known to have diabetes on the lists of two inner-city general practices were interviewed and examined in their own homes. They were characterized in terms of their prevalence of vascular complications, metabolic control, perceived health (measured by the Nottingham Health Profile), frequency of hospital and general practice contacts and use of domiciliary 'support services' and compared to 98 control subjects with an identical age/gender distribution. Mean haemoglobin A1 in the diabetic patients was 9.9 +/- 2.5%, few of them had suffered severe hyperglycaemia (10%) or hypoglycaemia (5%) and they were little more obese than controls (mean body mass index 26.2 +/- 4.2 vs 24.6 +/- 4.1 kg m-2; 95% confidence interval for the difference 0.4-2.8; p < 0.01). All complications were more prevalent in diabetic patients and the difference was statistically significant for visual impairment, strokes, impaired mental test scores, absent vibration sense, and absent leg pulses. Cataract was more common than retinopathy as a cause of visual disability. Diabetic patients perceived their health to be much worse than controls and were more often depressed. No measure of perceived health correlated with haemoglobin A1. We conclude that care of the diabetic elderly should not be too narrowly focused on 'metabolic' goals.

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Screening the elderly.

Freer¹

1990

BMJ

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An uncompromising report on health visiting for the elderly.

Cited by 5 publications

References 13 publications

Deaths in winter: Can Britain learn from Europe?

Deaths in winter: Can Britain learn from Europe?

A Community Survey of Diabetes in the Elderly

Screening the elderly.

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