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Related Experiment Videos

Patterns of care for the elderly in general practice.

D Wilkin, E I Williams

    The Journal of the Royal College of General Practitioners
    |December 1, 1986
    PubMed
    Summary

    General practitioners provide more follow-up care, home visits, and social referrals for elderly patients. However, they conduct less investigative work and refer older patients to consultants at the same rate as younger ones.

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    Area of Science:

    • Geriatrics
    • Primary Care Medicine
    • Health Services Research

    Background:

    • Limited understanding of primary care for the elderly.
    • General practitioners (GPs) are central to elder care.
    • Need for data on GP care patterns for older adults.

    Purpose of the Study:

    • To investigate the care patterns of general practitioners for elderly patients.
    • To compare care for patients over 65 with younger patients.
    • To identify variations in care delivery among GPs.

    Main Methods:

    • Analysis of 89,030 patient consultations, including 17,771 patients aged 65+.
    • Retrospective review of consultation data.
    • Examination of GP workload and referral practices.

    Main Results:

    • GPs conduct more follow-up, home visits, and social/nursing referrals for older patients.
    • Investigative work is less frequent in elderly patients.
    • Referral rates to consultants are similar across all age groups.
    • Significant inter-physician variation in care for older patients.
    • Proportion of elderly patients did not significantly impact GP workload.

    Conclusions:

    • GP care for the elderly involves more supportive services but less investigation.
    • Variability in care highlights potential areas for practice improvement.
    • Findings have implications for health service planning and research for aging populations.

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