Research

GP-led adapted comprehensive geriatric assessment for frail older people: a multi-methods evaluation of the ‘Living Well Assessment’ quality improvement project in Scotland

Eddie Donaghy, Franca Still, Helen Frost, Julia Lutte, Susan D Shenkin, Helen E Jones and Stewart W Mercer
BJGP Open 2023; 7 (1): BJGPO.2022.0184. DOI: https://doi.org/10.3399/BJGPO.2022.0184

Article Figures & Data

Figures

  • Figure 1.
    Figure 1. Histogram showing distribution of scores that patients provided regarding their agreement with the statement 'Overall, I had a very good experience of the Living Well Assessment'. A Mann–Whitney U-test concluded that scores for agreement with this statement did not differ with age group (dichotomised), U = 2756, P = 0.63. Nor did the scores differ by sex, U = 2527, P = 0.34. A Kruskal–Wallis test found no association between patient score and method of assessment, χ2 (2) = 0.80, P = 0.67. Patient agreement and time of assessment were not associated either, χ2 (3) = 1.89, P = 0.57. Finally, there was no relationship between SIMD decile and score U = 2734, P = 0.89.
  • Figure 2.
    Figure 2. Distribution of scores patients provided regarding their agreement with statement, 'Overall, I was happy with the type of consultation used for my Living Well Assessment'. Proportionally, a greater number of video-call patients (24.4%) were unhappy with their consultation type, in comparison with telephone patients (13.7%) and home-visit patients (12.1%). The difference in scores according to method was non-significant, χ2 (2, n = 147) =4.5, P = 0.106.
  • Figure 3.
    Figure 3. Distribution of scores patients provided regarding their agreement with statement,''The Living Well Assessment has improved my health care going forward'
  • Figure 4.
    Figure 4. Sankey diagram showing the relationship between initial method of assessment and patient preference for future assessment method

Tables

  • Table 1. Patient characteristics of responders who underwent a frailty assessment
    Patient characteristicsn (%)
    Age group, yearsa
     <601 (0.6)
     60–641 (0.6)
     65–7428 (17.0)
     75–8447 (28.4)
     85–9477 (46.0)
     ≥955 (3.0)
    Sexb
     Male58 (35.1)
     Female106 (64.2)
    SIMD decilec(1 = most deprived, 10 = least deprived)
     343 (26.1)
     423 (13.9)
     514 (8.5)
     65 (3.0)
     75 (3.0)
     831 (18.8)
     920 (12.1)
     1015 (9.1)

    • aMissing data = 6 (3.6%). bMissing data = 1 (0.6%). cMissing data = 9 (5.5%). SIMD = Scottish Index of Multiple Deprivation

  • Table 2. Details of how and when the assessment was carried out for responders (n = 165)
    Information on the Living Well Assessmentn (%)
    Timing of assessmenta,b
     >12 months ago41 (24.8)
     8–12 months ago34 (20.6)
     4–8 months ago36 (23.1)
     <4 months ago45 (21.8)
    Method of assessmentc
     Home visit34 (20.6)
     Telephone call77 (46.6)
     Video call44 (26.6)

    • aMissing data = 9 (5.5%). bFrom time of survey being sent out. cMissing data = 10 (6.1%).

Supplementary Data

  • Donaghy_BJGPO.2022.0184_Supp.docx -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.
Back to top

In this issue

BJGP Open
Vol. 7, Issue 1
March 2023
Download PDF
Download PowerPoint
Email Article
Citation Tools
GP-led adapted comprehensive geriatric assessment for frail older people: a multi-methods evaluation of the ‘Living Well Assessment’ quality improvement project in Scotland
Eddie Donaghy, Franca Still, Helen Frost, Julia Lutte, Susan D Shenkin, Helen E Jones, Stewart W Mercer
BJGP Open 2023; 7 (1): BJGPO.2022.0184. DOI: 10.3399/BJGPO.2022.0184
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo

Jump to section

Keywords

Intended for Healthcare Professionals

 
 

British Journal of General Practice