Document Detail

Monitoring mortality in general practice in Grampian, Scotland.
MedLine Citation:
PMID:  15209146     Owner:  NLM     Status:  MEDLINE    
Information on the distribution of mortality and morbidity in general practice is scarce, and not easily accessible either by health authorities or individual general practices. Although the assessment of population mortality is a standard public health measure, colleagues in public health, information sciences and general practice rarely undertake such activity related to general practice populations. Mortality information can be used for various purposes. Examples are providing background data for clinical audits or alerting practitioners to quality issues in the healthcare industry or even suggesting environmental hazards. We measured the experience of mortality in all generally practices in Grampian in the years 1991 to 1999. All practices were notified of their actual and expected mortality over this period of time and asked for comment. Only three general practices had excess mortality experience in both the periods 1991 to 1995 and 1996 to 1999. Only a minority of practices commented on the results. It appears that a high presence of nursing homes in a practice might skew the results; this phenomenon will be central to further inquiry. Future methodology for recording death in general practice should take account of this, as well as providing an account of the qualitative aspects of patients' need for a dignified satisfactory death.
A W Nimmo; G Peterkin; D R Coid
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scottish medical journal     Volume:  49     ISSN:  0036-9330     ISO Abbreviation:  Scott Med J     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-06-22     Completed Date:  2004-08-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  66-8     Citation Subset:  IM    
Department of Public Health, Grampian NHS Board, Summerfield House, 2 Eday Road, Aberdeen.
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MeSH Terms
Age Distribution
Aged, 80 and over
Child, Preschool
Family Practice / statistics & numerical data*
Middle Aged
Mortality* / trends
Population Surveillance
Primary Health Care / utilization*
Scotland / epidemiology
Sex Distribution

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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