Das geriatrische Basisassessment in der Hausarztpraxis

Theile, Gudrun; Winter, Alexander; Hummers-Pradier, Eva; Junius-Walker, Ulrike

doi:10.1007/s00391-011-0265-3

Cited by 15 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A number of recent studies are available that address GPs’ attitudes and practices concerning the concept of age and aged patients [ 15 , 16 ], multimorbidity management [ 17 , 18 ] dementia diagnosis and treatment [ 10 , 19 ], palliative care [ 14 ], oral health in older patients [ 9 ] and the use of geriatric assessment [ 20 , 21 ]. However, to our knowledge, no studies have addressed GPs’ perspectives regarding the current situation and rising challenges of ambulatory geriatric care in general.…”

Section: Introductionmentioning

confidence: 99%

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

et al. 2015

View full text Add to dashboard Cite

BackgroundDue to demographic change, general practitioners (GPs) are increasingly required to care for older people with complex health problems. Little is known about the subjective appraisals of GPs concerning the demanded changes. Our objective is to explore how general practitioners view their professional mandates and capacities to provide comprehensive care for older people with complex health problems. Do geriatric training or experience influence viewpoints? Can barriers for the implementation of changes in primary care for older people with complex health problems be detected?MethodsPreceding a controlled intervention study on case management for older patients in the primary care setting (OMAHA II), this qualitative study included 10 GPs with differing degrees of geriatric qualification. Semi structured interviews were conducted and audio-taped. Full interview transcripts were analyzed starting with open coding on a case basis and case descriptions. The emerging thematic structure was enriched with comparative dimensions through reiterated inter-case comparison and developed into a multidimensional typology of views.ResultsBased on the themes emerging from the data and their presentation by the interviewed general practitioners we could identify three different types of views on primary care for older people with complex health problems: ‘maneuvering along competence limits’, ‘Herculean task’, and ‘cooperation and networking’. The types of views differ in regard to role-perception, perception of their own professional domain, and action patterns in regard to cooperation. One type shows strong correspondence with a geriatrician. Across all groups, there is a shared concern with the availability of sufficient resources to meet the challenges of primary care for older people with complex health problems.ConclusionsLimited financial resources, lack of cooperational networks, and attitudes appear to be barriers to assuring better primary care for older people with complex health problems. To overcome these barriers, geriatric training is likely to have a positive impact but needs to be supplemented by regulations regarding reimbursement. Most of all, general practitioners’ care for older people with complex health problems needs a conceptual framework that provides guidance regarding their specific role and contribution and assisting networks. For example, it is essential that general practice guidelines become more explicit with respect to managing older people with complex health problems.

show abstract

Section: Introductionmentioning

confidence: 99%

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Due to time constraints geriatric assessments were rarely used despite the fact that most of the practitioners perceived it as useful and effective in order to improve the treatment of geriatric patients. Furthermore, the used instruments did not always match the recommendations of the relevant guidelines (37). The care of older patients may then take place without geriatric assessments and may be restricted to the treatment of individual diseases without considering functional limitations and resources of the patients.…”

Section: Discussionmentioning

confidence: 99%

Outpatient Geriatric Health Care in a Rural Region in Germany: A Population-Based Spatial Analysis of Secondary Data

Pfeuffer

Radicke

Leiz

et al. 2023

Preprint

View full text Add to dashboard Cite

Background and objective: Due to unrecognized and unaddressed geriatric care needs, elderly patients have a higher risk for developing chronic conditions and acute medical complications. Early geriatric screenings and assessments help to timely identify geriatric needs. Holistic and coordinated therapeutic approaches maintain the independence of elderly patients and avoid adverse effects of several uncoordinated treatments. General practitioners’ practices are important for the timely identification of geriatric needs. The aims of this study are to examine the spatial distribution of the utilization of outpatient geriatric services in the Northeast of Germany and to identify regional disparities. Methods: Geographical analysis and cartographic visualization of the spatial distribution of outpatient geriatric services of patients who are eligible to receive basic or specialized geriatric care were carried out. Claims data of the Association of Statutory Health Insurance Physicians in Mecklenburg-Western Pomerania were analysed on the level of postcode areas. A Moran’s I analysis was carried out to identify clusters of low or high utilization rates. Results: Of all patients who were eligible for outpatient geriatric care in 2017, 58.3% (n=129,283/221,654) received at least one basic outpatient geriatric service. 77.2% (n=73,442/95,171) of the patients who were also eligible for specialized services, received any geriatric service (basic or specialized). 0.4% (n=414/95,171) of this group, actually received specialized outpatient geriatric care. Among the postcode areas in the study region, the proportion of patients who received a basic geriatric assessment ranged from 3.4% to 86.7%. Several regions with statistically significant Clusters of utilization rates were identified. Conclusions: Considering the entire federal state, about half of the eligible population received basic geriatric care. Of the subgroup eligible for specialized geriatric care, only 0.4% received specialized services. The wide range of regional variations in the utilization rates and the local segregation of high and low rates indicate that the provision of outpatient geriatric care may depend to a large extent on local structures (e.g., multiprofessional, integrated networks or innovative projects or initiatives). Considering specialized outpatient care, utilization is limited to a few regions. Innovative solutions to improve access to both basic and specialized geriatric outpatient care are necessary.

show abstract

“…Dabei ist es wichtig, altersbedingte Einschränkungen zu erkennen und Unterstützungsangebote für die Bewältigung von Alltagsproblemen anzuregen. Mit dem geriatrischen Basisassessment (GBa), das seit 2005 Teil des Leistungskataloges der hausärztlichen Versorgung ist, liegt ein geeignetes Testverfahren vor, welches den gesundheitlichen Zustand älterer Patient*innen ganzheitlich erfasst und auf Indikationen für eine weitergehende Diagnostik und Therapie hinweist [ 6 , 18 ].…”

Section: Introductionunclassified

Lehrfilm über das geriatrische Basisassessment in der hausärztlichen Versorgung – Methoden filmischer Authentizität

et al. 2021

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Die Bedeutung der Versorgung älterer Personen in der hausärztlichen Praxis erfordert die Vermittlung von Handlungs- und Begründungswissen zur Durchführung eines geriatrischen Basisassessments (GBa) bereits im Medizinstudium. Handlungsbedarf zeigt sich dabei insbesondere im Hinblick auf eine realistische Wahrnehmung altersbedingter Einschränkungen durch Studierende. Der Beitrag beschreibt anhand eines Filmprojekts an der Medizinischen Hochschule Hannover (MHH), wie die hausärztliche Versorgungssituation für Studierende authentisch vermittelt werden kann. Methodik Verschiedene filmische Mittel zur Herstellung von Authentizität wurden angewendet. Im Lehrmodul Allgemeinmedizin an der MHH wurde der Film eingesetzt. Die studentische Evaluation untersuchte die emotionale Wirkung des Filmgeschehens auf die Studierenden, und ob die Darstellung des GBa als authentisch wahrgenommen wird. Ergebnisse Die Authentizität der filmischen Darstellung hat die Mehrheit der Studierenden emotional berührt. Die Vermittlung der Komplexität der Behandlung älterer Menschen und die Darstellung der besonderen hausärztlichen Funktion in der geriatrischen Versorgung sind durch den Lehrfilm gut gelungen. Diskussion Die Studierenden erkannten die Notwendigkeit des GBa und fanden die Darstellung überwiegend realistisch. Individuelle filmische Rezeptionsweisen und Vorerfahrungen beeinflussen auch die Wahrnehmung der filmischen Gestaltungsform im Hinblick auf Realitätsdarstellung.

show abstract

Das geriatrische Basisassessment in der Hausarztpraxis

Abstract: Hitherto BGA is not an established tool in German primary care practices. The question, which single instruments are most suitable for older general practice patients, still needs clarification.

Cited by 15 publications

References 20 publications

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

‘We can do only what we have the means for’ general practitioners’ views of primary care for older people with complex health problems

Outpatient Geriatric Health Care in a Rural Region in Germany: A Population-Based Spatial Analysis of Secondary Data

Lehrfilm über das geriatrische Basisassessment in der hausärztlichen Versorgung – Methoden filmischer Authentizität

Contact Info

Product

Resources

About