Abstract：
BACKGROUND:Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians conceptualize frailty, and the factors that they consider when making subjective decisions about patients' frailty statuses. METHODS:Descriptive qualitative study of family physicians who practice in a large urban academic family medicine center as they participated in one-on-one "think-aloud" interviews about the frailty status of their patients aged 80 years and over. Of 23 eligible family physicians, 18 shared their impressions about the frailty status of their older adult patients and the factors influencing their decisions. Interviews were audio-recorded, transcribed, and thematically analyzed. RESULTS:Four themes were identified, the first of which described how physicians conceptualized frailty as a spectrum and dynamic in nature, but also struggled to conceptualize it without a formal definition in place. The remaining three themes described factors considered before determining patients' frailty statuses: physical characteristics (age, weight, medical conditions), functional characteristics (physical, cognitive, social) and living conditions (level of independence, availability of supports, physical environment). CONCLUSIONS:Family physicians viewed frailty as multifactorial, dynamic, and inclusive of functional and environmental factors. This conceptualization can be useful to make comprehensive and flexible evaluations of frailty status in conjunction with more objective frailty tools.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Korenvain C,Famiyeh IM,Dunn S,Whitehead CR,Rochon PA,McCarthy LMdoi
10.1186/s12875-018-0743-4subject
Has Abstractpub_date
2018-05-14 00:00:00pages
61issue
1issn
1471-2296pii
10.1186/s12875-018-0743-4journal_volume
19pub_type
杂志文章abstract：BACKGROUND:Switzerland is facing a shortage of primary care physicians (PCPs); government organizations therefore suggested a broad variety of interventions to promote primary care. The aim of the study was to prioritize these interventions according to the acceptance and perceived barriers of most relevant groups of p...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0397-4
更新日期：2015-12-15 00:00:00
abstract：BACKGROUND:During an influenza epidemic prompt diagnosis of influenza is important. This diagnosis however is still essentially based on the interpretation of symptoms and signs by general practitioners. No single symptom is specific enough to be useful in differentiating influenza from other respiratory infections. Ou...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-4
更新日期：2011-02-09 00:00:00
abstract：BACKGROUND:Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0392-9
更新日期：2015-12-11 00:00:00
abstract：BACKGROUND:There is wide variation in the quality of care provided by primary care practices to individuals with chronic illnesses. Individual doctor attitudes and interest have been demonstrated to influence patient outcomes in some instances. Given the trend towards larger practices and part-time working, continuity ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-6-9
更新日期：2005-03-01 00:00:00
abstract：BACKGROUND:The work of general practitioners (GPs) is increasingly being looked at from the perspective of the strategies and factors shaping it. This reflects the importance given to primary care services in health care system reform. However, the literature provides little insight into the medical decision-making pro...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-9-12
更新日期：2008-02-19 00:00:00
abstract：BACKGROUND:Māori men in New Zealand have higher mortality from prostate cancer, despite having lower incidence rates. The objective of this study was to examine patterns of screening for prostate cancer in primary care and follow-up investigations after an elevated prostate-specific antigen (PSA) result in Māori and no...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-145
更新日期：2014-08-26 00:00:00
abstract：BACKGROUND:The benefit of a "diagnosis" of pre-diabetes in very elderly patients is debated. How clinicians manage pre-diabetic blood results in these patients is unknown. This study aims to understand how clinicians are "diagnosing" older patients with pre-diabetic blood parameters. METHODS:Semi-structured interviews...
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更新日期：2019-06-29 00:00:00
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journal_title：BMC family practice
pub_type： 历史文章,杂志文章
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更新日期：2010-01-05 00:00:00
abstract：BACKGROUND:The average delay in diagnosis for patients with axial spondyloarthritis (axSpA) is 7 to 10 years. Factors that contribute to this delay are multifactorial and include the lack of diagnostic criteria (although classification criteria exist) for axSpA and the difficulty in distinguishing inflammatory back pai...
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更新日期：2019-01-10 00:00:00
abstract：BACKGROUND:'Ad hoc' help-seeking by trainees from their supervisors during trainee consultations is important for patient safety, and trainee professional development. We explored trainee objectives and activities in seeking supervisor assistance, and trainee perceptions of the outcomes of this help-seeking (including ...
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更新日期：2020-02-07 00:00:00
abstract：BACKGROUND:There is compelling evidence that there is substantial undetected vision loss amongst older people. Early recognition of undetected vision loss and timely referral for treatment might be possible within general practice, but methods of identifying those with unrecognised vision loss and persuading them to ta...
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pub_type： 杂志文章
doi：10.1186/1471-2296-14-99
更新日期：2013-07-16 00:00:00
abstract：BACKGROUND:Accreditation is a widespread tool for quality management in health care. However, there is lack of research on the impact of accreditation, particularly in general practice. This study explores how general practitioners and their staff experienced the impact of a mandatory accreditation program in Denmark. ...
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doi：10.1186/s12875-019-1034-4
更新日期：2019-10-28 00:00:00
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更新日期：2020-04-22 00:00:00
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pub_type： 杂志文章
doi：10.1186/s12875-014-0203-8
更新日期：2014-12-12 00:00:00
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pub_type： 杂志文章
doi：10.1186/1471-2296-14-7
更新日期：2013-01-08 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2010-10-25 00:00:00
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更新日期：2019-08-03 00:00:00
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更新日期：2013-08-15 00:00:00
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pub_type： 杂志文章
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