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General practice geriatric surveillance scheme.

I B McIntosh1, M Young, T Stewart

  • 1Viewfield Medical Centre, Stirling.

Scottish Medical Journal
|October 1, 1988
PubMed
Summary
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This study transformed crisis care into proactive health management for seniors. A nurse-led home visiting program improved care standards, enabling older adults to live longer at home.

Area of Science:

  • Geriatric Medicine
  • Preventive Healthcare
  • Health Services Research

Background:

  • Traditional on-demand crisis intervention services for the elderly can be reactive.
  • A need exists for proactive, preventive healthcare strategies to improve management and outcomes for older adults.
  • Integrating home visiting and regular assessments can enhance patient care and support independent living.

Purpose of the Study:

  • To convert an on-demand crisis service into a doctor-initiated, anticipatory, preventive program for patients over 75.
  • To assess the effectiveness of home visiting and standardized assessments in identifying high-risk patients.
  • To evaluate the impact of this new model on patient outcomes and healthcare utilization.

Main Methods:

  • Implementation of a home visiting program by state enrolled nurses for 'activities of daily living' screening.

Related Experiment Videos

  • Serial medical assessments and regular surveillance by general practitioners.
  • Standardized, numerically scored medical, social, and functional assessments for patients over 75.

    • Main Results:

    • Patients were categorized into healthy (24%), moderately impaired (41%), and high risk (35%) groups, with visit frequencies adjusted accordingly.
    • Patient-initiated calls decreased by 41%, indicating reduced crisis situations.
    • Despite a 9% increase in workload, the program improved standards of care, allowing patients to live longer at home.

    Conclusions:

    • The shift to a doctor-initiated, anticipatory, and preventive program proved effective in managing elderly patients.
    • Home visiting by nurses for screening and assessment is an effective and economical approach.
    • This model enhances patient care, promotes longer home living, and identifies high-need individuals for targeted interventions.