PMID: 3752320Oct 1, 1986Paper

Planning for community physician services prior to deinstitutionalization of mentally retarded persons

American Journal of Public Health
P M Minihan

Abstract

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 servic...Continue Reading

References

Apr 1, 1978·American Journal of Public Health·A FujimotoM G Wilson
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Aug 1, 1969·American Journal of Public Health and the Nation's Health·D C SmithL K Rupke
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Citations

Aug 10, 2006·Journal of Autism and Developmental Disorders·Edward G Carr, Jamie S Owen-Deschryver
Nov 26, 2010·The American Journal of Nursing·Kathy H Baldridge, Frank Andrasik
Nov 28, 1997·Journal of Intellectual Disability Research : JIDR·N G Lennox, M P Kerr
Oct 1, 1986·American Journal of Public Health·A Yankauer
Oct 1, 1986·American Journal of Public Health·V W Sidel
Sep 1, 1990·American Journal of Public Health·P M Minihan, D H Dean
Oct 1, 1996·American Journal of Public Health·D StraussH J Grossman
Oct 3, 2002·Public Health Reports·Mary Ann LewisRobert Lindemann
Oct 20, 2006·Behavior Modification·Edward G Carr, Audrey Blakeley-Smith
Nov 1, 1990·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·A P BurtnerD W Low
Dec 1, 1993·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·J B FotheringhamA Wolfgarth
Oct 1, 1991·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·B D McCreary

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