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Consultation-based screening of the elderly in general practice: a pilot study.
The Journal of the Royal College of General Practitioners
|October 1, 1987
Summary
This study introduces a brief anticipatory care system for primary care. The pilot showed that only 28% of older patients screened needed follow-up, demonstrating an efficient approach to preventive care.
Area of Science:
- Geriatric Medicine
- Primary Care
- Preventive Healthcare
Background:
- Limited evidence supports annual screening for all older adults.
- Preventive and anticipatory care components are crucial in primary care.
- Existing screening tools vary in administration and patient engagement.
Purpose of the Study:
- To design and pilot a brief anticipatory care system for integration into general practice.
- To evaluate the feasibility and effectiveness of a two-stage screening process.
- To identify older patients requiring further assessment within a primary care setting.
Main Methods:
- Development of a brief screening schedule for anticipatory care.
- Pilot study conducted within routine general practice.
- Two-stage assessment process: initial screening followed by full assessment if needed.
Main Results:
- A brief anticipatory care system was designed and piloted.
- Approximately 28% (28 out of 102) of screened patients required follow-up assessment.
- General practitioners found the system easy to administer during regular consultations.
Conclusions:
- A brief, integrated anticipatory care system is feasible in primary care.
- The two-stage screening process efficiently identifies patients needing further evaluation.
- This approach supports preventive care for older adults within routine practice.