Which factors affect the implementation of geriatric recommendations by primary care physicians? Academic Article uri icon

abstract

  • The overall implementation rate for outpatient comprehensive geriatric assessment (OCGAU) recommendations ranges from 48.6 to 71%. The purpose of the study was to identify factors that reduce the implementation rate of geriatric recommendations. The medical records of patients who were assessed in the comprehensive geriatric assessment unit over an 8 year study period were surveyed. Data collected included patient's characteristics (socio-demographic, functional, cognitive, and affective condition, co- morbidity), number of recommendations, the identity of the geriatrician, and data related to the primary physician (age, sex, seniority, number of patients referred for geriatric assessment). Three thousand four hundred thirty-four recommendations were made for 488 patients (mean age 83.6±0.6 years) of which 1,634 (47.6%) were implemented by their …

publication date

  • April 1, 2017