Planning for community physician services prior to deinstitutionalization of mentally retarded persons
Bibliographic Data
| ID | 11030554 |
|---|---|
| Authors | Paula M Minihan (corresponding author) |
| Year | 1986 |
| Volume | 76 |
| Issue | 10 |
| Pages | 1202-1206 |
| Publication date | 1986-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.76.10.1202 |
| PMID | 3752320 |
| OpenAlex | W1993061242 |
| Language | EN |
| Citations received | 5 |
| References cited | 10 |
This study assessed the need for physician services among a group of institutionalized mentally retarded individuals in anticipation of their transfer to community residential facilities and subsequent management of their care by community-based physicians. The clients' personal physicians in the institution identified every chronic condition which required physician services, and recommended the kind of physician and frequency of visits for the management of each condition. Key informants reviewed these estimates and determined if there were sufficient physicians in their communities to provide this care. Thirty-two per cent of the conditions but only 8 per cent of the clients could be managed by a primary care physician. The most frequently required specialties were neurology, orthopedics, and ophthalmology. While primary care services and many of the necessary specialty services were available in the community to meet the needs of these individuals, several specialties essential to the medical care of this group were not available. These included orthopedics for the multiply-handicapped, neurology including behavioral neurology, and psychiatry. Deinstitutionalization policies which rely solely upon community physician services will lead to inadequate medical care in the community for some mentally retarded individuals. In these situations, alternative approaches to care must be developed
Family medicine · Primary care · Primary care physician · Psychiatry · Specialty · Elder Abuse and Neglect · Medicine · Neurology
War or peace
The provision of services to persons with mental retardation and subsequent infection with human immunodeficiency virus (HIV)
Predictors of mortality in children with severe mental retardation
Meeting the needs for health services of persons with mental retardation living in the community
Community health services for mentally retarded adults
Medical needs of children in institutions for the mentally retarded
An evaluation of comprehensive health care in the management of Down's syndrome
Costs of providing dental services to adult mentally retarded
War or peace
Health services for mentally retarded people in community residences
Continuity Reexamined
Seeing the Same Doctor
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,13 |
| Citation span | 1986 - 1996 (11) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |