Sardi F.,University of Pavia |
Sardi F.,Laboratorio Of Fisiopatologia Cellulare Ed Immunologia Clinica |
Santacroce S.,ASL Pavia |
Ricevuti G.,University of Pavia |
Ricevuti G.,Laboratorio Of Fisiopatologia Cellulare Ed Immunologia Clinica
Giornale di Gerontologia | Year: 2010
Introduction. The concept of clinical governance has not been properly used in our hospitals, medical and General Practitioners' offices. An evaluation of General Practitioners' (GP) activity is needed because of their increasing role in the management of chronically ill elderly. Methods. The following work took place in a GP's study in Bascapè, a little town near Pavia. The patients involved were 65 years old or more, independent and home-visited. We have analyzed clinical data from 1998 to 2006, especially the number of consultations, specialist's consultations and type of wards involved in patient's cure, paying attention to comorbidity and multi-drug therapy. Results. The result obtained has been an analysis of the population using the criteria proposed for the clinical governance (illnesses, comorbidity, number of visits, drugs most frequently used). Discussion. It will be possible and useful to introduce this kind of analysis in our GP's reality with a positive outcome considering the reduction of hospitalization and good governance of chronically ill patient, even home-visited ones.