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Identification and management of frailty in English primary care: a qualitative study of national policy.
Alharbi, Khulud; van Marwijk, Harm; Reeves, David; Blakeman, Tom.
Afiliação
  • Alharbi K; PhD Student, Division of Population Health, Health Services Research & Primary Care, School of Health Sciences, University of Manchester, Manchester, UK Khulud.alharbi@postgrad.manchester.ac.uk.
  • van Marwijk H; GP and Professor of General Practice, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
  • Reeves D; Reader, National Institute for Health Research School for Primary Care Research, School of Health Services, University of Manchester, Manchester, UK.
  • Blakeman T; Clinical Senior Lecturer in Primary Care, NIHR Collaboration for Leadership in Applied Health Research and Care Greater Manchester, Division of Population Health, Health Services Research & Primary Care, School of Health Sciences, University of Manchester, Manchester, UK.
BJGP Open ; 4(1)2020.
Article em En | MEDLINE | ID: mdl-32184213
BACKGROUND: Policymakers are directing attention to addressing the needs of an ageing population. Since 2017, general practices in England have been contractually required to identify and code 'frailty' as a new clinical concept and, in doing so, support targeted management for this population with the aim of improving outcomes. However, embedding frailty policies into routine practice is not without challenges and little is currently known about the success of the programme. AIM: To explore the implementation of a national policy on frailty identification and management in English primary care. DESIGN & SETTING: Qualitative study entailing interviews with primary care professionals in the North of England. METHOD: Semi-structured interviews were conducted with GPs (n = 10), nurses (n = 6), practice managers (n = 3), and health advisors (n = 3). Normalisation process theory (NPT) and 'system thinking' provided sensitising frameworks to support data collection and analysis. RESULTS: Primary care professionals were starting to use the concept of frailty to structure care within practices and across organisations; however, there was widespread concern about the challenge of providing expanded care for the identified needs with existing resources. Concerns were also expressed around how best to identify the frail subpopulation and the limitations of current tools for this, and there was a professional reticence to use the term 'frailty' with patients. CONCLUSION: Findings suggests that additional, focused resources and the development of a stronger evidence base are essential to facilitate professional engagement in policies to improve the targeted coding and management of frailty in primary care.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Prognostic_studies / Qualitative_research Idioma: En Ano de publicação: 2020 Tipo de documento: Article