Andrew Bonney1, Simon Morgan2, Amanda Tapley3, Kim Henderson3, Elizabeth Holliday4, Andrew Davey5, Mieke van Driel6, Neil Spike7, Cathy Regan3, Jean Ball4, Parker Magin5. 1. School of Medicine, University of Wollongong, Wollongong, New South Wales, Australia. 2. Elermore Vale General Practice, Newcastle, New South Wales, Australia. 3. GPSynergy, Newcastle, New South Wales, Australia. 4. Hunter Medical Research Institute, Newcastle, New South Wales, Australia. 5. Discipline of General Practice, University of Newcastle, Newcastle, New South Wales, Australia. 6. Discipline of General Practice, University of Queensland, Brisbane, Queensland, Australia. 7. Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Abstract
OBJECTIVE: To investigate older patients' encounters with general practice registrars (GPRs) to inform training and clinical practice. METHODS: Cross-sectional analysis of data from GPR consultations across five regional training providers in Australia. Data were analysed using simple and multiple logistic regression models. RESULTS: Our analysis included details of 118 831 consultations, 20 555 (17.6%, 95% CI 17.4-17.8) with patients aged ≥65 years. Older patient encounters had an increased likelihood of including chronic disease (OR 1.77, 95% CI 1.70, 1.86) and more problems (OR 1.24, 95% CI 1.20, 1.27). However, in-consultation information or advice was less likely to be sought (OR 0.92, 95% CI 0.88, 0.97), and consultations were briefer (OR 0.99, 95% CI 0.99, 1.00). CONCLUSION: Our results suggest relatively limited GPR exposure to older patients coupled with less complex consultations than expected. Solutions will need to be carefully constructed not only to increase caseloads, but also to address training and supervision concerns.
OBJECTIVE: To investigate older patients' encounters with general practice registrars (GPRs) to inform training and clinical practice. METHODS: Cross-sectional analysis of data from GPR consultations across five regional training providers in Australia. Data were analysed using simple and multiple logistic regression models. RESULTS: Our analysis included details of 118 831 consultations, 20 555 (17.6%, 95% CI 17.4-17.8) with patients aged ≥65 years. Older patient encounters had an increased likelihood of including chronic disease (OR 1.77, 95% CI 1.70, 1.86) and more problems (OR 1.24, 95% CI 1.20, 1.27). However, in-consultation information or advice was less likely to be sought (OR 0.92, 95% CI 0.88, 0.97), and consultations were briefer (OR 0.99, 95% CI 0.99, 1.00). CONCLUSION: Our results suggest relatively limited GPR exposure to older patients coupled with less complex consultations than expected. Solutions will need to be carefully constructed not only to increase caseloads, but also to address training and supervision concerns.
Authors: Anneliese Willems; Amanda Tapley; Alison Fielding; Er Tsing Vivian Tng; Elizabeth G Holliday; Mieke L van Driel; Jean I Ball; Andrew R Davey; Irena Patsan; Kristen FitzGerald; Neil A Spike; Parker J Magin Journal: Dermatol Pract Concept Date: 2021-09-01
Authors: Laura Tierney; Ron Mason; Kathleen Doherty; Margaret Winbolt; Marita Long; Andrew Robinson Journal: BMJ Open Date: 2019-04-09 Impact factor: 2.692