[ @entity64 and XXXX in family practice. Incidence and perspectives].

@entity1 @entity4905 @entity64
Although the @entity64 ( @entity64 ) and the @entity4905 ( @entity4905 ) are relatively rare in general practice, they subjectively demand great attention because of their specific problems. To get a picture of for example their incidence in the general population and referral patterns in general practice, we collected and analysed the data from a (continuing) morbidity registration over 12 years in four general practices (Department of General Practice/Family Medicine University Nijmegen). The diseases occur mainly over age 50. The incidence of @entity64 is slightly higher than the incidence of @entity4905 . The incidence of the diseases over the two sexes is practically equal. Because of the overpresentation of older @entity1 in the general population, more @entity1 than @entity1 present these diseases. Male @entity1 are younger than female. Only a part of the @entity1 has been referred or admitted to hospital. The referral depends on age of the @entity1 : The older the @entity1 the lower the referral-rate. The case-fatality of @entity64 is about 25%. @entity1 who die within a month, usually die in hospital. When @entity1 survive this period, they die more often at home than in a nursing home. @entity1 who die in a nursing home, are more often male than female. In older age groups a @entity64 means more often than not the end of life. In our view a referral is often not in the interest of the @entity1 . If a @entity1 stays at home, the GP has to create a team with family members, a district nurse or a physiotherapist in order to offer the @entity1 optimal medical and psychosocial attendance care.
