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Related Experiment Videos

A pre-discharge project--does GP willingness equal involvement?

G Ranmuthugala1, E McInnes, M Mira

  • 1National Centre for Epidemiology and Population Health, New South Wales.

Australian Family Physician
|July 1, 1997
PubMed
Summary
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General practitioner (GP) surveys overestimate willingness for pre-discharge visits. Actual participation was lower than reported, suggesting logistical challenges and inadequate remuneration for GPs.

Area of Science:

  • Geriatric Medicine
  • General Practice
  • Health Services Research

Background:

  • Pre-discharge visits by General Practitioners (GPs) aim to improve care transitions for frail, aged inpatients.
  • Assessing GP willingness to participate in such projects is crucial for implementation.
  • Understanding factors influencing GP participation is key to optimizing healthcare delivery.

Purpose of the Study:

  • To compare the reported willingness of GPs to participate in a pre-discharge project with their actual participation rates.
  • To identify characteristics of GPs and patients associated with participation in pre-discharge visits for aged inpatients under geriatric care.

Main Methods:

  • A pre-implementation survey of 100 randomly selected GPs in Central Sydney assessed willingness to participate in a pre-discharge visit project.

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  • Actual participation rates were determined through an audit of Division of General Practice records.
  • Patient characteristics were gathered via interviews and medical records.

    • Main Results:

    • While 71% of GPs expressed willingness to make remunerated pre-discharge visits, only 53% actually participated, an 18% discrepancy.
    • GPs who were solo practitioners and not members of the Division were less likely to participate.
    • More dependent patients (higher Barthel's score) and those from nursing homes were less likely to receive a visit.

    Conclusions:

    • GP surveys may overestimate participation in Division projects due to the complexities of integrating pre-discharge visits into routine practice.
    • Remuneration offered may be insufficient to compensate for the time commitment required for pre-discharge visits.
    • Some GPs may not perceive a clear benefit in visiting highly dependent patients, impacting participation.