Asunto(s)
Complicaciones Infecciosas del Embarazo , Salpingitis/microbiología , Tuberculosis de los Genitales Femeninos/transmisión , Tuberculosis Ganglionar/congénito , Tuberculosis Pulmonar/congénito , Adulto , Antituberculosos/uso terapéutico , Enfermedad Crónica , Quimioterapia Combinada , Femenino , Fertilización In Vitro , Humanos , Lactante , Transmisión Vertical de Enfermedad Infecciosa , Embarazo , Tuberculosis de los Genitales Femeninos/tratamiento farmacológico , Tuberculosis Ganglionar/tratamiento farmacológico , Tuberculosis Pulmonar/tratamiento farmacológicoRESUMEN
The Irish Health Information and Quality Authority (HIQA) published National Quality Standards for Residential Care Settings for Older People in 2009. We reported on experiences of general practitioners (GPs) in Dublin caring for nursing home patients (NHPs) in 2006. We revisit these experiences following publication of HIQA's standards. 400 GPs received an anonymous postal survey. Of 204 respondents, 145 (71%) felt NHPs required more contact time and 124 (61%) reported more complex consultations compared to other patients. Only 131 (64%) felt adequately trained in gerontology. 143 (70%) reported access to specialist advice, but only 6 (3%) reported a change in this following HIOA standards. 65 (32%) had witnessed substandard care in a NH, of which 16 (25%) made no report, similar figures to 2006. There remains similar levels of concern regarding patient complexity, substandard care, access to specialist support and training in the care of NHPs. Many GPs expressed uncertainty regarding their role in implementing HIQA standards.
