Evaluating the introduction of the enhanced primary care 75+ annual health assessments.
OBJECTIVE
The study aimed to evaluate what effect the introduction of the enhanced primary care (EPC) health assessments has on the management of elderly patients.


METHODS
The study was conducted across five Divisions of General Practice in South West Sydney. Twenty-one general practitioners participated in the study following response to an initial faxed questionnaire survey. An audit of patients' health assessments in conjunction with their records was conducted between June and August 2000.


RESULTS
There were significant increase in the documentation of nonmedical problems and of patients' immunisation status. However, there was no increase in plans to refer patients to psychologists, mental health teams or social workers. Also no assessments resulted in a case conference and very few in a care plan.


CONCLUSIONS
Health assessments are unlikely to improve clinical outcomes if they do not result in multidisciplinary care, including care plans, for patients with psychosocial and functional needs.


CONCLUSIONS
Support strategies need to be implemented which assist general practitioners' management of psychosocial and functional problems.
Blakeman
T M
TM
Department of General Practice, South West Sydney Area Health Service, New South Wales.
Comino
E J
EJ
Zwar
N A
NA
Harris
M F
MF
D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D016009:Chi-Square Distribution; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010347:Patient Care Planning; D010808:Physical Examination; D011314:Preventive Health Services; D011320:Primary Health Care / Q000592:standards* / Q000639:trends