Intended for healthcare professionals

Letters Primary-secondary care divide

Integrated care results in fewer elderly people dying in hospital

BMJ 2012; 345 doi: (Published 16 July 2012) Cite this as: BMJ 2012;345:e4731
  1. Michael A H Cohen, general practitioner1,
  2. Philip McCarthy, general practitioner1,
  3. Yusra Khan, general practitioner1
  1. 1Westbury on Trym Primary Care Centre, Bristol BS9 3AA, UK
  1. michaelcohen1{at}

We agree that more integrated medical care is needed in the community.1 Many patients in residential and nursing homes lack access to appropriate medical care. This can lead to unnecessary hospital admissions and patients’ lives ending needlessly in hospital. Various models for delivering medical care in nursing homes have been proposed.2

Three …

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