Comprehensive geriatric assessment recommendations: Adherence of family practice residents

R. L. Reed, E. W. Kligman, B. D. Weiss

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

A study was performed to determine whether family practice residents followed recommendations made by a comprehensive geriatric assessment clinic. Of 109 consecutive consultations, 27 patients had follow-up visits with family practice residents who participated in the assessment and who subsequently served as their primary care physicians. Adherence of residents to 437 clinic recommendations was monitored for 90 days by medical record review. Although recommendations to begin or increase a medication were followed 85.4% of the time, residents followed recommendations to stop or decrease medications less than 65% of the time. Recommendations to order a specific laboratory test or x-ray examination were acted on 70.3% of the time. Preventive recommendations were followed only 54.3% of the time. Residents' adherence to team-based care plans varied widely by type of recommendation. Special efforts are needed to increase compliance with comprehensive geriatric assessment clinic recommendations, particularly those for preventive services.

Original languageEnglish (US)
Pages (from-to)389-392
Number of pages4
JournalJournal of Family Practice
Volume31
Issue number4
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Family Practice

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