ArticleBJGP open2020
Identification and management of frailty in English primary care: a qualitative study of national policy.
Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Development and Validation of Machine Learning Models for Predicting Early Cognitive Decline Using Home Sensor-Derived Behavioral Data: Sensors in-Home for Elder Wellbeing (SINEW) Cohort Study.JMIR research protocols · 2026Article
- Translational framework for implementation evaluation and research: implementation strategies derived from normalization process theory.Implementation science : IS · 2025Article
- Factors that affect the implementation of an integrated care programme for older people with different frailty levels: a qualitative study of commissioners and provider stakeholders.BMC geriatrics · 2024Article
- Frailty: a global health challenge in need of local action.BMJ global health · 2024Review
- Extracellular MicroRNAs as Potential Biomarkers for Frail Kidney Phenotype: Progresses and Precautions.Aging and disease · 2024Article
- Does proactive care in care homes improve survival? A quality improvement project.BMJ open quality · 2024Article
- How do primary care clinicians approach the management of frailty? A qualitative interview study.Age and ageing · 2024Article
- Virtual wards for people with frailty: what works, for whom, how and why-a rapid realist review.Age and ageing · 2024Review
- Role of Cognitive Frailty in Older Adults With Cardiovascular Disease.Journal of the American Heart Association · 2024Review
- Developing a framework of concerns from people living with frailty, for the Measure Yourself Concerns and Wellbeing (MYCaW) person-centred outcome measure.BMJ open quality · 2024Article
- 'Frailty as an adjective rather than a diagnosis'-identification of frailty in primary care: a qualitative interview study.Age and ageing · 2023Article
- A rapid review of interventions to improve medicine self-management for older people living at home.Health expectations : an international journal of public participation in health care and health policy · 2023Review
- Understanding the implementation of interventions to improve the management of frailty in primary care: a rapid realist review.BMJ open · 2022Review
- What are the implications of problem-solving capacity at Primary Health Care in older adult health?Einstein (Sao Paulo, Brazil) · 2022Article
- Article
- Is proactive frailty identification a good idea? A qualitative interview study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Barriers and facilitators to the adoption of electronic clinical decision support systems: a qualitative interview study with UK general practitioners.BMC medical informatics and decision making · 2021Article
- Integrated Care for Older People with Different Frailty Levels: A Qualitative Study of Local Implementation of a National Policy in Luton, England.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPolicymakers 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.
aimTo explore the implementation of a national policy on frailty identification and management in English primary care. DESIGN &
settingQualitative study entailing interviews with primary care professionals in the North of England.
methodSemi-structured interviews were conducted with GPs (
resultsPrimary 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.
conclusionFindings 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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