Older patients' consultations in an apprenticeship model-based general practice training program: a cross-sectional study

Bonney, Andrew, Morgan, Simon, Tapley, Amanda, Henderson, Kim, Holliday, Elizabeth, Davey, Andrew, van Driel, Mieke, Spike, Neil, Regan, Cathy, Ball, Jean and Magin, Parker (2017) Older patients' consultations in an apprenticeship model-based general practice training program: a cross-sectional study. Australasian Journal On Ageing, 36 1: E1-E7. doi:10.1111/ajag.12364


Author Bonney, Andrew
Morgan, Simon
Tapley, Amanda
Henderson, Kim
Holliday, Elizabeth
Davey, Andrew
van Driel, Mieke
Spike, Neil
Regan, Cathy
Ball, Jean
Magin, Parker
Title Older patients' consultations in an apprenticeship model-based general practice training program: a cross-sectional study
Journal name Australasian Journal On Ageing   Check publisher's open access policy
ISSN 1741-6612
1440-6381
Publication date 2017-03-01
Year available 2017
Sub-type Article (original research)
DOI 10.1111/ajag.12364
Open Access Status Not yet assessed
Volume 36
Issue 1
Start page E1
End page E7
Total pages 7
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2018
Language eng
Formatted 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.
Keyword Aged care
Family practice
General practice
Graduate
Medical
Vocational education
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Discipline of General Practice Publications
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Created: Tue, 11 Apr 2017, 00:25:16 EST by Web Cron on behalf of Discipline of General Practice