The Gospel Oak Project: the use of health and social services by dependent elderly people in the community.
The Gospel Oak Project surveyed a community sample of elderly people. Prevalence rates of depression and dementia were determined. Cases were assessed in detail and subject to long-term follow-up. Demographic information and morbidity data identified details of health service, social service and informal service contact. This paper reports the findings of the first survey of this population completed in 1987. It examines the effect of the increase in the very elderly on the need for health and social services, including contact with general practitioners. Duplication of service contacts are explored and the dependent elderly people not in receipt of services are identified. Finally, the survey investigates the effect of informal care on the level of service contact. Results confirm that contact increases with age, especially multiple service contact, implying a need for an expansion in future services. Although most depressed residents do not usually complain of depression, they have increased contact with health services but are not treated with anti-depressant medication. Few dependent elderly people receive no services; conversely there is no evidence of service duplication. Finally, receipt of informal care affected attendance at a day centre but no other service provision.
Livingston
G
G
Royal Free Hospital, London NW3 2QG.
Thomas
A
A
Graham
N
N
Blizard
B
B
Mann
A
A
D000368:Aged; D003153:Community Health Services / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology; D005069:Evaluation Studies as Topic; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008131:London / Q000453:epidemiology; D010821:Physicians, Family / Q000706:statistics & numerical data; D010865:Pilot Projects; D011204:Poverty Areas; D013222:State Medicine; D014505:Urban Population