Centre for Policy on Ageing
 

 

Does the patient-centred approach help identify the needs of older people attending primary care?
Author(s)Fiona Smith, Martin Orrell
Journal titleAge and Ageing, vol 36, no 6, November 2007
Pagespp 628-631
Sourcehttp://www.ageing.oupjournals.org
KeywordsPatients ; Medical care ; Evaluation ; Communication ; General practitioners ; Social surveys ; London.
AnnotationThe objective was to investigate the effect of a general practitioner's "patient centredness" on identification of unmet needs in older adults. A correlational questionnaire based study with a descriptive element was designed for two south London general practice surgeries. The participants were 67 patients aged 65+ visiting their general practitioner (GP) for a new episode of care. The main outcome measures were assessment of unmet needs and patients' perceptions of GP patient centredness. Results showed that having one or more unmet need on the Camberwell Assessment of Need for the Elderly (CANE) was not associated with evaluations of GP patient centredness. After their GP consultation, 35 (52.2%) participants still had at least one unmet need on the CANE. The most common unmet needs were information (13, 19.4%), eyesight/hearing (11, 16.4%) and benefits (11, 16.4%). A large proportion of the patient sample (28, 41.8%) who perceived their problems were dealt with by the consultation, had unmet needs on the CANE. The patient-centred approach was highly valued but was not linked to reduced unmet needs. Many older people tolerate unmet needs and seem reluctant to acknowledge them or mention them to the GP. (KJ/RH).
Accession NumberCPA-080121217 A
ClassmarkLF: LK: 4C: U: QT6: 3F: 82L

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