[General practitioners' satisfaction after a geriatric assessment into primary care: data from FAP study]. / Ressentis des médecins généralistes ayant participé à un projet d'évaluation gériatrique en soins premiers : données issues de l'étude FAP.

In response to demographic challenges, primary care need to get familiar with the concept of frailty and the early detection of cognitive impairment. The « Frailty and Alzheimer's disease prevention into primary care ¼ (FAP) project introduced a geriatric evaluation with a nurse in primary care in order to assess older patients. Our work aimed to evaluate the general practitioner's (GPs) opinion involved in FAP project. METHODS: This is an observational descriptive study performed in Occitanie region. 26 GPs have involved in this project. The gathering of information was performed through an online survey. RESULTS: GPs estimated that most of the patients benefiting from a primary care geriatric evaluation would have declined hospital evaluation. 92% of the surveyed GPs gave a strongly positive or positive opinion regarding the detection of previously unidentified health issues and the improvement of patient care following this evaluation. 42% of the GPs found that the personalized plan of cares is difficult or very difficult to do. 73% of the GPs considered that they have a better knowledge of frailty syndrome and cognitive impairment after the evaluation. CONCLUSION: GPs feedback was very positive and promising for the future. It could be interesting to develop this geriatric evaluation in primary care into new regions.

Patients' satisfaction after a geriatric assessment into primary care: data from FAP study.

Given the current demographic situation, the primary care must consider the frailty concept. The « Frailty and Alzheimer's disease prevention into Primary care ¼ project (FAP) enabled geriatric assessment by a nurse in general practitioner's office to assess older persons. The aim of our study was to evaluate patients' satisfaction after geriatric assessment into primary care. METHODS: This is an observational descriptive study performed in the Occitanie area on a population of 268 older patients. Gathering of information was performed through a phone survey. RESULTS: A total of 133 questionnaires were filled in. Average age was 80 (±6) years old and 60% were women. 75.2% (n=100) were frail or pre-frail; 72% (n=89) of participants have been completely satisfied by this assessment; 71% (n=24) have been completely satisfied about their personalized plan of care; 79% (n=89) of them thought the general practitioners' office as the best place for geriatric assessment; 42% (n=52) would have refused the evaluation in the hospital. DISCUSSION: Patient's feedback is very encouraging. They were favorable to the development of the geriatric assessment into primary care and the generalization of the FAP project in other areas. Further studies must be carried out in order to evaluate the medico-economic effect of this care model.

[Role of the nurse in the prevention of dependence]. / Rôle de l'infirmière dans la prévention de la dépendance.

Preventing frailty in elderly people to delay their dependency is one of the main missions of the Gérontopôle, a centre of expertise for gerontology, in Toulouse. The proposed actions are simple to put in place and the nurses are autonomous in carrying out assessments. Nursing expertise has also been developed within the centre.