Journal article

Specialist or generalist care? A study of the impact of a selective admitting policy for patients with cardiac failure

J Lowe, P Candlish, D Henry, J Wlodarcyk, P Fletcher

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | OXFORD UNIV PRESS | Published : 2000

Abstract

CONTEXT: The debate on the respective roles of medical specialists and generalists has tended to portray them as alternatives, rather than seeking ways to build on the complementary skills of these professional groups. OBJECTIVE: We wished to evaluate the impact of a selective admitting policy that attempts to exploit the complementary strengths of specialists and generalists. DESIGN: Prospective cohort study of patients admitted to hospital with congestive heart failure. SETTING: Public hospital in New South Wales, Australia. PATIENTS: Subjects aged 60 years or more with congestive heart failure defined by the Framingham criteria (see Appendix). INTERVENTION: A selective admission policy wh..

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