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Centre for Policy on Ageing | |
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Health risk appraisal for older people in general practice using an expert system
— a pilot study | | Author(s) | S Iliffe, K Kharicha, D Harari |
| Journal title | Health & Social Care in the Community, vol 13, no 1, January 2005 |
| Pages | pp 21-29 |
| Source | www.blackwellpublishing.com/hsc |
| Keywords | Health [elderly] ; Preventative medicine ; Evaluation ; General practice ; Pilot. |
| Annotation | General practitioners (GPs) are well positioned to maintain and promote health to older people, but the British experience of population-wide preventive interventions has been disappointing. Health risk appraisal (HRA), an emergent information technology based approach from the US, has the potential for fulfilling some of the objectives of the National Service Framework for Older People (NSF). Information technology and expert systems allow the perspectives on their health and health risk behaviour to be collated, analysed and converted into tailored health promotion advice without adding to GPs' workload. This paper describes a preliminary study of the portability of HRA to British settings. Cultural adaptation and feasibility testing of a comprehensive health risk assessment questionnaire was carried out in a group practice with 12,500 patients; 58% of those aged 65+ participated in the study. Eight out of 10 respondents at all ages found the questionnaire easy or very easy to understand and complete, although more than a third had or would have liked assistance, while one respondent in 10 disliked some questions. Of those who completed the questionnaire and received tailored, written health promotion advice, 39% provided feedback on this, with comments that can be used for increasing the acceptability of tailored advice. These findings have informed a wider exploratory study in general practice. (RH). |
| Accession Number | CPA-050321202 A |
| Classmark | CC: LK2: 4C: L5: 4UC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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