GPs’ interest in integrated care for frail older adults and corresponding consulting and prescribing data: qualitative and quantitative analyses of the PAERPA integrated care project
Rattachement africain : fr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background Integrated care pathways can help to avoid unnecessary admissions to hospital and improve the overall quality of care for frail older patients. Although these integrated care pathways should be coordinated by GPs their level of commitment may vary. Aim To profile GPs who had participated or had declined to participate in the Personnes Agées En Risque de Perte d’Autonomie (PAERPA) integrated care project (ICP) in the Valenciennois-Quercitain area of France between 2014 and 2019. Design and setting A combined qualitative and quantitative analysis of GPs who were participating in or had declined to participate in the PAERPA ICP. Method Both GPs participating in the ICP and GPs who chose not to participate in the ICP were interviewed, and then consultation and prescription profiles for these two groups were compared. Results Some GPs were interested in the PAERPA ICP, whereas others were opposed. The 48 qualitative interviews revealed four issues that influenced participation in the PAERPA ICP: 1) awareness of issues in care of older adults and the value of collaborative work; 2) time saving; 3) task delegation; and 4) advantages of coordination. The level of interest in the ICP for frail older adults was indirectly reflected by the data on consulting and prescribing. In GPs who participated in the PAERPA ICP there was a greater proportion of older (aged ≥70 years) patients (P<0.05), a larger number of consultations per year (P<0.05), and a larger number of home visits (P<0.01), relative to GPs who declined to participate. Conclusion The level of interest in the PAERPA ICP for frail older adults varied widely among GPs. These findings suggest that commitment to an integrated care pathway could be increased by customising the recruitment strategy as a function of the GP’s profile.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- GPs’ interest in integrated care for frail older adults and corresponding consulting and prescribing data: qualitative and quantitative analyses of the PAERPA integrated care project
- Date Crossref
- 13/07/2022
- Éditeur
- Royal College of General Practitioners
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Université de Lille pays non établi dans la noticeUniversité ou école supérieure
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Centre Hospitalier Universitaire de Lille pays non établi dans la noticeÉtablissement de santé
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Université Polytechnique Hauts-de-France pays non établi dans la noticeUniversité ou école supérieure
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Agence Régionale de Santé Ile-de-France pays non établi dans la noticeOrganisme public
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University of Lille Department of Family Medicine pays non établi dans la noticeUniversité ou école supérieure
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Groupe Hospitalier Territorial du Hainaut-Cambrésis pays non établi dans la noticeÉtablissement de santé
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Agence Régionale de Santé Hauts-de-France pays non établi dans la noticeOrganisme public
Université de Lille, Centre Hospitalier Universitaire de Lille et Université Polytechnique Hauts-de-France, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.