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[Geriatrics seen from the primary care perspective]

L Morelo Negrete1, M Lázaro del Nogal, J González Esteban

  • 1Servicio de Geriatría, Hospital Universitario San Carlos, Madrid.

Anales De Medicina Interna (Madrid, Spain : 1984)
|July 1, 1995
PubMed
Summary
This summary is machine-generated.

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Primary care physicians see many elderly patients but lack geriatric training. They recognize a need for specialized geriatric support to improve care for older adults.

Area of Science:

  • Geriatric Medicine
  • Primary Care
  • Medical Education

Context:

  • Primary care physicians (PCPs) manage a significant and growing elderly patient population.
  • Current undergraduate medical education often lacks comprehensive geriatric content.
  • PCPs report a low self-assessed level of geriatric knowledge.

Purpose:

  • To assess primary care physicians' opinions on their geriatric medicine practice, background, and support needs.
  • To identify gaps in geriatric training and awareness among PCPs.
  • To understand the perceived requirements for specialized geriatric medical support in primary care settings.

Summary:

  • A survey of 559 PCPs revealed that 50% see over 20 elderly patients daily, with 74% considering age in drug dosing.

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  • However, 96% had no undergraduate geriatric training, and 42% had some postgraduate formation, with a self-assessed knowledge score of 4.5/10.
  • A substantial majority (95%) desired better geriatric education, believing it would alter their clinical approach, and 84% found specialized geriatric support helpful.

    • Impact:

    • Highlights a critical need for enhanced geriatric education within primary care physician training programs.
    • Suggests that implementing specialized geriatric support services, such as in-hospital teams or consultant geriatricians, could significantly benefit PCPs.
    • Informs the development of targeted educational interventions and support structures to improve geriatric care delivery in primary care.