PT - JOURNAL ARTICLE AU - Matthieu Calafiore AU - Emmanuel Chazard AU - Lorette Averlant AU - Claire Ramez AU - Fanny Sarrazin AU - Nathalie Leveque AU - Delphine Dambre AU - David Verloop AU - Marie-Marguerite Defebvre AU - Carla Di Martino AU - Jean-Baptiste Beuscart TI - Wide variations among GPs in the level of interest in integrated care for frail, elderly adults and their association with data on consulting and prescribing AID - 10.3399/BJGP.2021.0626 DP - 2022 Jul 13 TA - British Journal of General Practice PG - BJGP.2021.0626 4099 - http://bjgp.org/content/early/2022/07/13/BJGP.2021.0626.short 4100 - http://bjgp.org/content/early/2022/07/13/BJGP.2021.0626.full AB - Background: Integrated care pathways can help to avoid unnecessary hospitalizations and improve the overall quality of care for frail, elderly patients. Although these ICP should be coordinated by general practitioners (GPs), the latter’s level of commitment may vary. Aim: To profile GPs who had participated or had refused to, in the Personnes Agées En Risque de Perte d'Autonomie (PAERPA) integrated care project (ICP) in the Valenciennois-Quercitain area of France between 2014 and 2019. Design and setting: A dual qualitative and quantitative analysis of the GPs who participated in the PAERPA project. Method: We interviewed GPs interested or not then compared consultation and prescription profiles. Results: Some GPs were interested in the PAERPA ICP, whereas others were opposed. The 48 qualitative interviews revealed four issues that influenced participation in the PAERPA project: (i) awareness of issues in geriatric medicine and the value of collaborative work, (ii) time saving, (iii) task delegation, and (iv) advantages of coordination. The level of interest in ICP for frail, elderly adults was indirectly reflected by the data on consulting and prescribing. GPs who participated to PAERPA had a greater proportion of elderly (over-70) patients (p<0.05), a larger number of consultations per year (p<0.05) and a larger number of home visits (p<0.01), relative to GPs who refused to. Conclusion: The level of interest in ICP for frail, elderly adults varied widely among GPs. Our findings suggest that commitment to an ICP could be increased by customizing the recruitment strategy as a function of the GP’s profile.