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Risk groups and selective case finding in an elderly population.

G Ford, R Taylor

    Social Science & Medicine (1982)
    |January 1, 1983
    PubMed
    Summary
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    Screening elderly populations for medical and social risks is challenging. A targeted approach using specific screening questions proved more efficient than relying on conventional risk groups for effective case-finding in older adults.

    Area of Science:

    • Gerontology
    • Public Health
    • Healthcare Management

    Background:

    • Preventive care for the elderly is increasingly prioritized.
    • Screening and case-finding are crucial for identifying at-risk older adults.
    • Current methods often focus on conventionally defined risk groups, which may be inefficient.

    Purpose of the Study:

    • To examine the nature and extent of 'risk' in conventionally defined risk groups among the elderly.
    • To evaluate the efficiency of these conventional risk groups for selective case-finding.
    • To propose a more efficient alternative screening approach.

    Main Methods:

    • Analysis of data from a random sample of the elderly population in Aberdeen.
    • Examination of individuals within conventionally defined risk groups.

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  • Development and testing of an alternative screening method using selected questions.

    • Main Results:

    • Few conventionally defined risk groups were comprehensively disadvantaged.
    • Most conventional risk groups proved inefficient for selective case-finding.
    • An alternative screening approach using carefully selected questions demonstrated higher efficiency.

    Conclusions:

    • Conventional risk groups are often inefficient for identifying elderly individuals needing support.
    • A targeted screening strategy using specific questions offers a more effective method for case-finding in older populations.
    • Further improvements to this question-based screening approach are suggested.