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Centre for Policy on Ageing | |
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| GP concordance with advice for treatment following a multidisciplinary psychogeriatric assessment | | Author(s) | Claire A G Wolfs, Frans R J Verhey, Alfons Kessels |
| Journal title | International Journal of Geriatric Psychiatry, vol 22, no 3, March 2007 |
| Pages | pp 233-240 |
| Source | http://www.interscience.wiley.com |
| Keywords | Assessment procedures for mental patients ; Multi disciplinary ; Medical care ; General practitioners ; Evaluation ; Netherlands. |
| Annotation | The present study is part of the MEDICIE study (Maastricht Evaluation of a Diagnostic Intervention for Cognitively Impaired Elderly), a randomised clinical trial (RCT) comparing clinical effects and health care economy effects of the multidisciplinary Diagnostic Observation Centre for Psychogeriatric Patients (DOC-PG). Concordance checklists, listing the recommendations from the multidisciplinary team, were sent to general practitioners (GPs) in order to establish GP concordance. Regression models were used to study the associations between various patients and GP characteristics and level of concordance. Furthermore, results of a questionnaire (to identify the level of satisfaction regarding the service provided by the DOC-PG) were compared with the level of GP concordance. Based on 330 recommendations, the overall GP concordance rate amounted to 71%. The most common types of advice were about medication, GP follow-up advice and referral. GP concordance with advice regarding admissions was the highest, followed by advice concerning the arrangement of daycare, home care and the adaptation of medication. GP concordance was lowest for referral recommendations to other specialties and recommendations regarding psycho-education. Concordance was higher for patients who lived alone or with fewer cognitive problems, when the number of recommendations did not exceed six, and in group practices. Concordance was dependent on the type of advice. Satisfaction with DOC-PG did not correlate with the level of concordance. Enhancement of GP concordance can be be achieved by limiting the number of recommendations, giving detailed explanations about the purpose of recommendations and educating GPs by doing. (RH). |
| Accession Number | CPA-070627210 A |
| Classmark | DA:4C: 3DM: LK: QT6: 4C: 76H |
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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