ArticleBMJ open2024
How can we improve Comprehensive Geriatric Assessment for older people living with frailty in primary care and community settings? A qualitative study.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 4 citations in OpenAlex.
- 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
- 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
- Integrating Patient and Caregiver Voices Into the CGA-5Ms Framework: A Missing Piece in Japan's Geriatric Care Model.Geriatrics & gerontology international · 2026Article
- Video-Based Gait Assessment Using Machine Learning to Classify Age and Sex in Low-Resource Settings: Cross-Sectional Study.JMIR formative research · 2026Article
- Article
- Comprehensive Geriatric Assessment: Addressing Unmet Healthcare Needs in Older Adults.Healthcare (Basel, Switzerland) · 2025Review
- What Defines an Age-Friendly Health System? Comment on "Developing a Conceptual Framework for an Age-Friendly Health System: A Scoping Review".International journal of health policy and management · 2025Article
- Advanced practitioners working with older people in primary care and community settings: a survey of roles and use of technology.International journal for advancing practice · 2024Article
- Review
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWith advancing age comes the increasing prevalence of frailty and increased risk of adverse outcomes (eg, hospitalisation). Evidence for comprehensive geriatric assessment (CGA), a multidimensional holistic model of care, is mixed in community settings. Uncertainties remain, such as the key components of CGA, who delivers it, and the use of technology. This study aimed to understand the perspectives, beliefs and experiences, of both older people and health professionals, to improve the current CGA and explore factors that may impact on CGA delivery in community settings.
designA qualitative interview study was conducted with older people and healthcare professionals (HCPs) identified using a maximum variation strategy. Data were analysed using an abductive analysis approach. The non-adoption, abandonment, scale-up, spread and sustainability framework and the theoretical framework of acceptability guided the categorisation of the codes and identified categories were mapped to the two frameworks.
settingEngland, UK.
results27 people were interviewed, constituting 14 older people and 13 HCPs. We identified limitations in the current CGA: a lack of information sharing between different HCPs who deliver CGA; poor communication between older people and their HCPs and a lack of follow-up as part of CGA. When we discussed the potential for CGA to use technology, HCPs and older people varied in their readiness to engage with it.
conclusionsViable solutions to address gaps in the current delivery of CGA include the provision of training and support to use digital technology and a designated comprehensive care coordinator. The next stage of this research will use these findings, existing evidence and stakeholder engagement, to develop and refine a model of community-based CGA that can be assessed for feasibility and acceptability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.