Does the patient-centred approach help identify the needs of older people attending primary care?

Abstract:

OBJECTIVES:To investigate the effect of a general practitioner's 'patient centredness' on identification of unmet needs in older adults. DESIGN:Correlational questionnaire based study with a descriptive element. SETTING:Two south London general practice surgeries. PARTICIPANTS:Sixty seven patients over the age of 65 visiting their general practitioner (GP) for a new episode of care. MAIN OUTCOME MEASURES:Assessment of unmet needs and patients' perceptions of GP patient centredness. RESULTS:Having one or more unmet needs on the Camberwell Assessment of Need for the Elderly (CANE) was not associated with evaluations of GP patient centredness (t (64) = - 0.334, P = 0.740). After their GP consultation, 35 (52.2%) participants still had at least one unmet need on the CANE. The most common unmet needs were information (13, 19.4%), eyesight/hearing (11, 16.4%) and benefits (11, 16.4%). A large proportion of the patient sample (28, 41.8%) who perceived their problems were dealt with by the consultation, had unmet needs on the CANE. CONCLUSIONS:The patient-centred approach was highly valued but was not linked to reduced unmet needs. Many older people tolerate unmet needs and seem reluctant to acknowledge them or mention them to their GP.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Smith F,Orrell M

doi

10.1093/ageing/afm131

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

628-31

issue

6

eissn

0002-0729

issn

1468-2834

pii

afm131

journal_volume

36

pub_type

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