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The single assessment process in primary care: what is the impact on other services?

The single assessment process in primary care: what is the impact on other services?
The single assessment process in primary care: what is the impact on other services?
Introduction: Within a study of the single assessment process, we evaluated its impact on primary care and other services.
Methods: 945 patients aged 70 years + were screened using the Sherbrooke case-finding questionnaire. Where indicated they underwent overview / comprehensive assessments using the Minimum Data Set for Home Care (MDS-HC). Unmet needs were discussed with the patient / carer, and appropriate referrals made.
Results: 307 patients were offered MDS-HC assessments, of whom 64 triggered 475 client assessment protocols (CAPS) in 27 domains. The most frequently triggered CAPS (>30) were immunisation and screening, medication management, communication disorders and pain. No-one triggered alcohol or elder abuse, or palliative care. The participants triggered a median of 8 CAPS each (range 2-18), generating 55 referrals as shown below.
Conclusions: Relatively few referrals were generated in this wellorganised practice with an established elderly care nurse practitioner, and her experience may explain the lack of referrals to geriatric medicine. The need for 4 case conferences suggests that the SAP highlighted complex issues. It is unclear whether those refusing further assessment would have had similar needs.
Roberts, H.C.
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Hemsley, Z.M.
ec4ab7e9-76cf-4a16-8170-39083e78bba0
Thomas, G.
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Aihie Sayer, A.
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Gove, I.
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Turner, G.
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Meakins, P.
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Morron-Ryan, M.
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Purcell, A.
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Powell, J.
1d6c27f4-dc09-4347-b580-df054b2f9cc9
Roberts, H.C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Hemsley, Z.M.
ec4ab7e9-76cf-4a16-8170-39083e78bba0
Thomas, G.
11e04ba6-cee3-4ac9-ab43-4184887ebf9b
Aihie Sayer, A.
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb
Gove, I.
681d48f0-d840-43fc-89d7-ba1560a571d7
Turner, G.
9f7ce134-6989-4b42-ab86-6804f7721b42
Meakins, P.
74084836-0312-4df9-bc6d-df9fb918d45e
Morron-Ryan, M.
a26980e0-7090-4a1c-9460-6c6d72941f67
Purcell, A.
74d273a4-f68f-4bc5-89c7-23e3bab23f43
Powell, J.
1d6c27f4-dc09-4347-b580-df054b2f9cc9

Roberts, H.C., Hemsley, Z.M., Thomas, G., Aihie Sayer, A., Gove, I., Turner, G., Meakins, P., Morron-Ryan, M., Purcell, A. and Powell, J. (2005) The single assessment process in primary care: what is the impact on other services? British Geriatrics Society: Spring Meeting 2005, Birmingham, UK. 12 - 14 Apr 2005.

Record type: Conference or Workshop Item (Other)

Abstract

Introduction: Within a study of the single assessment process, we evaluated its impact on primary care and other services.
Methods: 945 patients aged 70 years + were screened using the Sherbrooke case-finding questionnaire. Where indicated they underwent overview / comprehensive assessments using the Minimum Data Set for Home Care (MDS-HC). Unmet needs were discussed with the patient / carer, and appropriate referrals made.
Results: 307 patients were offered MDS-HC assessments, of whom 64 triggered 475 client assessment protocols (CAPS) in 27 domains. The most frequently triggered CAPS (>30) were immunisation and screening, medication management, communication disorders and pain. No-one triggered alcohol or elder abuse, or palliative care. The participants triggered a median of 8 CAPS each (range 2-18), generating 55 referrals as shown below.
Conclusions: Relatively few referrals were generated in this wellorganised practice with an established elderly care nurse practitioner, and her experience may explain the lack of referrals to geriatric medicine. The need for 4 case conferences suggests that the SAP highlighted complex issues. It is unclear whether those refusing further assessment would have had similar needs.

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More information

Published date: 2005
Venue - Dates: British Geriatrics Society: Spring Meeting 2005, Birmingham, UK, 2005-04-12 - 2005-04-14

Identifiers

Local EPrints ID: 37803
URI: http://eprints.soton.ac.uk/id/eprint/37803
PURE UUID: 22751afd-0cf2-4ba5-bd27-1637d300f173
ORCID for H.C. Roberts: ORCID iD orcid.org/0000-0002-5291-1880

Catalogue record

Date deposited: 01 Jun 2006
Last modified: 12 Dec 2021 03:21

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Contributors

Author: H.C. Roberts ORCID iD
Author: Z.M. Hemsley
Author: G. Thomas
Author: A. Aihie Sayer
Author: I. Gove
Author: G. Turner
Author: P. Meakins
Author: M. Morron-Ryan
Author: A. Purcell
Author: J. Powell

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