ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021
Is proactive frailty identification a good idea? A qualitative interview study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Perspectives of older adults, caregivers, healthcare providers on frailty screening in primary care: a systematic review and qualitative meta-synthesis.BMC geriatrics · 2022Pooled it
- Why should we assess the degree of frailty in primary care?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- How do primary care clinicians approach the management of frailty? A qualitative interview study.Age and ageing · 2024Article
- Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- 'Frailty as an adjective rather than a diagnosis'-identification of frailty in primary care: a qualitative interview study.Age and ageing · 2023Article
- What are the implications of problem-solving capacity at Primary Health Care in older adult health?Einstein (Sao Paulo, Brazil) · 2022Article
- Structured medication reviews for frail, older people should be done by GPs or experienced nurse practitioners.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn England, GPs are independent contractors working to a national contract. Since 2017, the contract requires GPs to use electronic tools to proactively identify moderate and severe frailty in people aged ≥65 years, and offer interventions to help those identified to stay well and maintain independent living. Little is currently known about GPs' views of this contractual requirement.
aimTo explore GPs' views of identifying frailty and offering interventions for those living with moderate or severe frailty. DESIGN AND
settingA sequential mixed-methods study of GPs in the East Midlands region of England - namely Derbyshire, Leicestershire, Lincolnshire, Nottinghamshire, and Northamptonshire - undertaken between January and May 2019.
methodGPs were made aware of the study via professional organisations' newsletters and bulletins, GP email lists, and social media, and were invited to complete an online questionnaire. Responses were analysed using descriptive statistics and, based on those survey responses, GPs with a range of GP and practice characteristics, as well as views on identifying frailty, were selected to participate in a semi-structured telephone interview. Interview transcripts were analysed using framework analysis.
resultsIn total, 188 out of 3058 (6.1%) GPs responded to the survey and 18 GPs were interviewed. GPs were broadly supportive of identifying frailty, but felt risk-stratification tools lacked sensitivity and specificity, and wanted evidence showing clinical benefit. Frailty identification increased workload and was under-resourced, with limited time for, and access to, necessary interventions. GPs felt they lacked knowledge about frailty and more education was required to better understand it.
conclusionProactively identifying and responding to frailty in primary care requires GP education, highly sensitive and specific risk-stratification tools, better access to interventions to lessen the impact of frailty, and adequate resourcing to achieve potential clinical impact.
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