ArticleBJGP open2023
GP-led adapted comprehensive geriatric assessment for frail older people: a multi-methods evaluation of the 'Living Well Assessment' quality improvement project in Scotland.
Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- General practitioners' experience about synchronous teleconsultation in primary care: a mixed-method systematic review.BMC primary care · 2025Pooled it
- Patients' perspective about synchronous teleconsultation with a general practitioner: a mixed-method systematic literature review.BMC primary care · 2025Pooled it
- Exploring stakeholders' experiences of comprehensive geriatric assessment in the community and out-patient settings: a qualitative evidence synthesis.BMC primary care · 2023Pooled it
- Complex interventions for improving independent living and quality of life amongst community-dwelling older adults: a systematic review and meta-analysis.Age and ageing · 2023Pooled it
- Barriers to and facilitators of comprehensive geriatric assessment in primary care in France: a qualitative study exploring physicians' and nurses' experiences.BMC primary care · 2025Trial
- Veteran comfort and satisfaction with comprehensive geriatric assessment via video telehealth to home.Journal of the American Geriatrics Society · 2025Article
- Telehealth and people with disabilities in the United Kingdom: a scoping review.Frontiers in public health · 2025Article
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Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence to support comprehensive geriatric assessment (CGA) in primary care for frail older people is limited.
aimTo evaluate a GP-led adapted CGA quality improvement project. DESIGN &
settingMulti-methods evaluation in a large practice in Midlothian in Scotland.
methodThe intervention was conducted by 10 GPs in a practice of approximately 11 000 patients, initially in the patient's home, and then remotely (by telephone or video consultation) during the COVID-19 pandemic. Evaluation included a patient questionnaire, and qualitative interviews with GPs delivering the Living Well Assessment (LWA), analysed by thematic analysis.
resultsA total of 165/220 (75%) patients responded to the survey, of which 86% reported a 'very good experience' of the LWA. The method of delivery did not significantly influence this although most (58%) stated a preference for face-to-face consultation. For the 31% who preferred remote LWA, most (23%) preferred telephone to video consultation (8%). Problems in remote consultations related to technical issues (video), poor vision (video), or deafness (telephone or video). GPs felt that home-based LWAs had real benefits but switching to remote during the pandemic had proven feasible. Concerns included potential increase in GP workload owing to the LWA and whether it was an efficient use of GPs' time.
conclusionGP-led adapted CGA was feasible in a large practice, even during the pandemic, and highly valued by frail patients. Questions regarding efficient use of GPs' time, effectiveness in terms of important patient outcomes and impact, and cost-effectiveness, requires further investigation in a larger study.
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