Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment

The American Journal of Medicine
D B ReubenR D Hays

Abstract

The goals of this study were to develop and determine the feasibility of interventions designed to increase both primary care physician implementation of and patient adherence to recommendations from ambulatory-based consultative comprehensive geriatric assessment (CGA), and to identify sociodemographic and intervention-related predictors of physician and patient adherence. One hundred thirty-nine community-dwelling older persons who failed a screen for functional impairment, depressive symptoms, falls, or urinary incontinence received outpatient CGA consultation. These patients and the 115 physicians who provided primary care for them received one of three adherence interventions, each of which had a physician education component and a patient education and empowerment component. Recommendations were classified as physician-initiated or self-care and as "major" or "minor"; one was deemed "most important". Adherence rates were determined on the basis of face-to-face interviews with patients. Based on 528 recommendations for 139 subjects, physician implementation of "most important" recommendations was 83% and of major recommendations was 78.5%. Patient adherence with physician-initiated "most important" and "major" recommendati...Continue Reading

References

Sep 1, 1976·American Journal of Public Health·B S HulkaJ A Burdette
Jan 26, 1990·JAMA : the Journal of the American Medical Association·S B Soumerai, J Avorn
May 31, 1990·The New England Journal of Medicine·W B ApplegateD E Akins
Jan 26, 1990·JAMA : the Journal of the American Medical Association·A M EpsteinJ Rowe
May 1, 1990·Annals of Internal Medicine·M S LachsM E Tinetti
Nov 15, 1989·Annals of Internal Medicine·L V RubensteinR H Brook
May 16, 1986·JAMA : the Journal of the American Medical Association·C M AllenH J Cohen
Jul 1, 1987·Archives of Internal Medicine·R B Haynes, C J Walker
Jan 1, 1986·Journal of General Internal Medicine·D L Bronson, K O'Meara
May 1, 1986·Journal of General Internal Medicine·A M JetteT L Delbanco
Apr 1, 1983·Archives of Internal Medicine·L E KleinS M Kirby
May 18, 1995·The New England Journal of Medicine·D B ReubenJ C Beck
Aug 23, 1993·Archives of Internal Medicine·R L KravitzS Greenfield
Aug 1, 1993·The Gerontologist·D B ReubenC F Siegler
Oct 1, 1957·American Journal of Public Health and the Nation's Health·L PRATTG READER

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Citations

Sep 21, 2013·Tijdschrift voor gerontologie en geriatrie·E C M van Mulligen-van de BeltM F I A Depla
Oct 6, 2000·Controlled Clinical Trials·R T AndersonJ S McBride
Dec 9, 1998·Journal of General Internal Medicine·S E Sherman, D Reuben
Aug 8, 2002·Journal of the American Geriatrics Society·Rose C MalyDavid B Reuben
May 26, 1999·Australian and New Zealand Journal of Medicine·I Scott
Apr 1, 1997·The American Journal of Medicine·A A MooreJ Adams
Nov 22, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·David D CravensLaurence Z Rubenstein
Jan 25, 2012·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Patrick KortebeinAudra Arant
Mar 1, 2012·Geriatrics & Gerontology International·Yan PressTzvi Dwolatzky
Sep 8, 2015·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·O Saint-Jean, J LeGuen
Mar 17, 1999·Journal of the American Geriatrics Society·R A Silliman, P P Barry
Jul 15, 1999·Journal of the American Geriatrics Society·E A ColemanE H Wagner
Sep 1, 1997·Journal of the American Geriatrics Society·C A AlessiJ C Beck
Feb 8, 2002·American Journal of Alzheimer's Disease and Other Dementias·Carol Ann PodgorskiChristopher Cox
Jun 15, 2018·Journal of Pediatric Gastroenterology and Nutrition·Alfredo GuarinoToshiaki Shimizu
Sep 29, 2006·International Journal of Geriatric Psychiatry·R Scott Mackin, Patricia A Areán
Sep 16, 2006·International Journal of Geriatric Psychiatry·Claire A G WolfsCarmen D Dirksen
Jan 11, 2008·Drugs & Aging·Gilles Albrand, Catherine Terret
Jul 3, 2018·Journal of Nutritional Science and Vitaminology·Yusaku AkashiTetsuhiro Maeno
Apr 30, 2017·Israel Journal of Health Policy Research·Yan PressTamar Freud
Feb 26, 2019·Journal of the International Association of Providers of AIDS Care·Christiana BitasMarshall Glesby
May 14, 1999·Journal of the American Geriatrics Society·T von Sternberg
Jul 22, 1998·Journal of the American Geriatrics Society·R C MalyD B Reuben
Apr 29, 1998·Journal of the American Geriatrics Society·C BoultJ T Pacala
Mar 28, 2021·Journal of the American Geriatrics Society·Bernardo ReyesJoseph Ouslander

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