RT Journal Article
SR Electronic
T1 GPs’ interest in integrated care for frail older adults and corresponding consulting and prescribing data: qualitative and quantitative analyses of the PAERPA integrated care project
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP e809
OP e815
DO 10.3399/BJGP.2021.0626
VO 72
IS 724
A1 Matthieu Calafiore
A1 Emmanuel Chazard
A1 Lorette Averlant
A1 Claire Ramez
A1 Fanny Sarrazin
A1 Nathalie Leveque
A1 Delphine Dambre
A1 David Verloop
A1 Marguerite-Marie Defebvre
A1 Carla Di Martino
A1 Jean-Baptiste Beuscart
YR 2022
UL http://bjgp.org/content/72/724/e809.abstract
AB Background Integrated care pathways can help to avoid unnecessary admissions to hospital and improve the overall quality of care for frail older patients. Although these integrated care pathways should be coordinated by GPs their level of commitment may vary.Aim To profile GPs who had participated or had declined to participate 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 combined qualitative and quantitative analysis of GPs who were participating in or had declined to participate in the PAERPA ICP.Method Both GPs participating in the ICP and GPs who chose not to participate in the ICP were interviewed, and then consultation and prescription profiles for these two groups were compared.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 ICP: 1) awareness of issues in care of older adults and the value of collaborative work; 2) time saving; 3) task delegation; and 4) advantages of coordination. The level of interest in the ICP for frail older adults was indirectly reflected by the data on consulting and prescribing. In GPs who participated in the PAERPA ICP there was a greater proportion of older (aged ≥70 years) 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 declined to participate.Conclusion The level of interest in the PAERPA ICP for frail older adults varied widely among GPs. These findings suggest that commitment to an integrated care pathway could be increased by customising the recruitment strategy as a function of the GP’s profile.