BMJ  2004;328 (19 June), doi:10.1136/bmj.328.7454.0-d

Nursing home effect may explain high mortality

Looking after patients who live in nursing homes, and who are more likely to die than patients in the community, may explain excessively high mortality in general practice. Mohammed and colleagues (p 1474) analysed the case mix and results of two general practitioners flagged up by the Shipman inquiry as having higher mortality than expected, and they found that the GPs were looking after a high proportion of patients living in nursing homes, which explained their results. GPs with high mortality merit a proper investigation for credible causes, say the authors.

Credit: JOHN GILES/PA

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