ArticleAge and ageing2023
'Frailty as an adjective rather than a diagnosis'-identification of frailty in primary care: a qualitative interview study.
Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
24 citing papers in PubMed.
- Feasibility and acceptability of the Health Assessment Tool (HAT) in Swedish primary care: insights into older patients' needs and professional perspectives.Scandinavian journal of primary health care · 2026Article
- Group Poetry and Quilt-Making -Creative Public Involvement Approaches to Contentious Concepts in Frailty Research.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Continuity of Care as Diagnostic Infrastructure.Journal of evaluation in clinical practice · 2026Article
- 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
- Caring for the frail: a qualitative study in an orthopaedic setting.BMC geriatrics · 2026Article
- Care and Health Needs of Older Patients with Frailty in General Practice.Healthcare (Basel, Switzerland) · 2026Article
- Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2026Article
- Exploring the views and experiences of frailty and resilience among people experiencing homelessness in Ireland: A qualitative study.PloS one · 2026Article
- Five reasons for the failure of frailty screening in primary care: lessons from the experience with ICOPE monitor step 1.BMC geriatrics · 2025Observational
- Sex- and system-specific analysis of blood-based biomarkers and frailty in older adults-the Activity and Function of the Elderly study.Age and ageing · 2025Article
- Using the new electronic frailty index (eFI2) to aid frailty identification and management in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Current status and development trends in CKD with frailty research from 2000 to 2021: a bibliometric analysis.Renal failure · 2024Review
- Frailty: a global health challenge in need of local action.BMJ global health · 2024Review
- Literacy for Frailty among Undergraduate Medical Education: An Under-Recognized Opportunity to Improve Geriatric Care.Aging and disease · 2024Article
- Frailty and its association with long-term mortality among community-dwelling older adults aged 75 years and over.Israel journal of health policy research · 2024Article
- Validation of the Health Assessment Tool (HAT) based on four aging cohorts from the Swedish National study on Aging and Care.BMC medicine · 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
- 'I think we could probably do more': an interview study to explore community pharmacists' experiences and perspectives of frailty and optimising medicines use in frail older adults.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
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
introductionIn 2017, NHS England introduced proactive identification of frailty into the General Practitioners (GP) contract. There is currently little information as to how this policy has been operationalised by front-line clinicians, their working understanding of frailty and impact of recognition on patient care. We aimed to explore the conceptualisation and identification of frailty by multidisciplinary primary care clinicians in England.
methodsQualitative semi-structured interviews were conducted with primary care staff across England including GPs, physician associates, nurse practitioners, paramedics and pharmacists. Thematic analysis was facilitated through NVivo (Version 12).
resultsTotally, 31 clinicians participated. Frailty was seen as difficult to define, with uncertainty about its value as a medical diagnosis. Clinicians conceptualised frailty differently, dependant on job-role, experience and training. Identification of frailty was most commonly informal and opportunistic, through pattern recognition of a frailty phenotype. Some practices had embedded population screening and structured reviews. Visual assessment and continuity of care were important factors in recognition. Most clinicians were familiar with the electronic frailty index, but described poor accuracy and uncertainty as to how to interpret and use this tool. There were different perspectives amongst professional groups as to whether frailty should be more routinely identified, with concerns of capacity and feasibility in the current climate of primary care workload.
conclusionsConcepts of frailty in primary care differ. Identification is predominantly ad hoc and opportunistic. A more cohesive approach to frailty, relevant to primary care, together with better diagnostic tools and resource allocation, may encourage wider recognition.
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