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people living in finglas and their health - School of Medicine - Trinity ...

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TABLE OF CONTENTS<br />

Page<br />

TABLE OF CONTENTS<br />

Page<br />

Acknowledgements<br />

Foreword<br />

List <strong>of</strong> Tables<br />

List <strong>of</strong> Figures<br />

List <strong>of</strong> Appendices<br />

List <strong>of</strong> Abbreviations<br />

PART 1 – A community based survey<br />

Summary<br />

Introduction<br />

4<br />

5<br />

6<br />

8<br />

8<br />

8<br />

9<br />

10<br />

14<br />

PART 2 – The <strong>health</strong> service providers’ perspective<br />

Summary<br />

Methods<br />

1.0 Introduction<br />

1.1 Aim<br />

1.2 Research Design<br />

1.3 Study Population<br />

1.4 Sampl<strong>in</strong>g<br />

1.5 Fieldwork<br />

1.6 Data Analysis<br />

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63<br />

65<br />

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Methods<br />

2.0 Introduction<br />

2.1 Study area<br />

2.2 Sampl<strong>in</strong>g<br />

2.3 Fieldwork<br />

2.4 Data collection <strong>in</strong>strument<br />

2.5 Statistical methods<br />

Results<br />

3.0 Introduction<br />

3.1 Response rate<br />

3.2 Demographic <strong>and</strong> socio-economic characteristics<br />

3.3 Health care issues <strong>and</strong> behaviours<br />

3.4 Chronic disease<br />

3.5 Disability<br />

3.6 Deaths<br />

3.7 Acute hospital services<br />

3.8 Health services for women<br />

3.9 Community <strong>health</strong> services<br />

3.10 Wait<strong>in</strong>g for <strong>health</strong> care<br />

3.11 Primary carers’ sources <strong>of</strong> <strong>health</strong> <strong>in</strong>formation<br />

3.12 Primary carers’ suggested additional <strong>health</strong> needs<br />

Discussion<br />

References<br />

15<br />

15<br />

15<br />

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17<br />

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55<br />

57<br />

61<br />

Results<br />

2.0 Introduction<br />

2.1 The <strong>health</strong> issues <strong>in</strong> the community<br />

Physical problems<br />

Mental <strong>health</strong> problems<br />

Social problems<br />

Alcohol <strong>and</strong> drug misuse<br />

Lonel<strong>in</strong>ess <strong>and</strong> isolation<br />

Social deprivation<br />

Personal safety <strong>and</strong> security<br />

What occupies most <strong>of</strong> your time<br />

2.2 Services <strong>and</strong> resources <strong>in</strong> the community<br />

Barriers to effective delivery <strong>of</strong> the service<br />

Staff shortages<br />

Accessibility <strong>and</strong> availability <strong>of</strong> <strong>health</strong> services<br />

Premises <strong>and</strong> local facilities<br />

Barriers with<strong>in</strong> general practice<br />

Resources required to address the needs <strong>of</strong> the community<br />

Staff<br />

Exp<strong>and</strong>ed services for the elderly<br />

Meals on Wheels<br />

Personal alarm<br />

Information about local services <strong>and</strong> entitlements<br />

More <strong>health</strong> promotion<br />

Locally based therapy services<br />

In-service tra<strong>in</strong><strong>in</strong>g<br />

Family resource centre<br />

Other resources required<br />

2.3 Co-ord<strong>in</strong>ation <strong>and</strong> teamwork <strong>in</strong> the area<br />

Level <strong>of</strong> co-ord<strong>in</strong>ation between service providers <strong>and</strong> teamwork <strong>in</strong> the area<br />

The primary care team<br />

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69<br />

69<br />

69<br />

69<br />

70<br />

70<br />

71<br />

71<br />

72<br />

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72<br />

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79<br />

Discussion<br />

82<br />

References<br />

84<br />

Appendices Part 1 + 2<br />

85<br />

2<br />

3

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