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  • Health service provision for community-dwelling people suffering urinary incontinence: A case study of neglect.

    Author(s)
    St John, Winsome
    James, Heather
    McKenzie, Shona
    Griffith University Author(s)
    St John, Winsome
    James, Heather
    Year published
    2001
    Metadata
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    Abstract
    Access to health services for common health problems is a fundamental principle of primary health care. Although there have been few Australian prevalence studies, it is estimated that about 900,000 adult Australians suffer from incontinence (National Health and Medical Research Council, 1994). The purpose of this study was to investigate urinary continence services for community-dwelling people in the Gold Coast region of Australia, prior to implementing new services. A case study design was used, including: a survey of general medical practitioners, specialist medical practitioners, physiotherapists, hospitals, and home ...
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    Access to health services for common health problems is a fundamental principle of primary health care. Although there have been few Australian prevalence studies, it is estimated that about 900,000 adult Australians suffer from incontinence (National Health and Medical Research Council, 1994). The purpose of this study was to investigate urinary continence services for community-dwelling people in the Gold Coast region of Australia, prior to implementing new services. A case study design was used, including: a survey of general medical practitioners, specialist medical practitioners, physiotherapists, hospitals, and home visiting agencies in the region; a focus group with key stakeholders; and a critical review of the literature in relation to prevalence, treatment-seeking behaviour and service provision. Health practitioners were asked about services provided, policies, clinical pathways, referrals, and their views on what services they would like to see offered in the region. Results showed that while there were some existing continence-specific services in the region, they were inadequate to provide for the numbers of people in need. Many generalist health practitioners demonstrated a lack of interest in and knowledge of the plight of those suffering from incontinence. Links between services were found to be ad hoc, with inconsistent referral patterns between health professionals. These findings are consistent with international studies. It was concluded that, in general, community-dwelling people suffering incontinence were poorly served by health professionals due an inability of available services to meet demand, and a lack of knowledge and/or interest by many generalist health practitioners.
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    Journal Title
    Australian Journal of Primary Health
    Volume
    7
    Issue
    3
    Publisher URI
    http://www.publish.csiro.au/nid/261.htm
    DOI
    https://doi.org/10.1071/PY01043
    Subject
    Biomedical and clinical sciences
    Human society
    Psychology
    Publication URI
    http://hdl.handle.net/10072/4033
    Collection
    • Journal articles

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