Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Attitudes of general practitioners and practice nurses regarding older person health assessments

Sai Ram Ramisetty A , Angelo D’Amore A B and Eleanor K. L. Mitchell A C
+ Author Affiliations
- Author Affiliations

A School of Rural Health, Monash University, Bairnsdale, Vic. 3875, Australia.

B Eastern Victoria General Practice Training, Churchill, Vic. 3842, Australia.

C Corresponding author. Email: Eleanor.Mitchell@monash.edu

Australian Journal of Primary Health 27(3) 215-220 https://doi.org/10.1071/PY20262
Submitted: 6 November 2020  Accepted: 12 December 2020   Published: 1 April 2021

Abstract

Health assessments (HAs) are available for community-dwelling older people to receive annually from general practitioners (GPs), but have low uptake. Little is known regarding the views of GPs and practice nurses (PNs) towards older person HAs and whether this might contribute to the low uptake. The objective of this study was to explore the attitudes of GPs and PNs towards older person HAs. Fifty-eight participant responses to an online questionnaire were analysed through descriptive statistics and content analysis. Most participants (77%) found older person HAs to be useful. Participants felt HAs identified health problems that may otherwise be missed (n = 21). The main barriers to delivery of HAs were patient refusal (n = 25) and insufficient practitioner time (n = 19). The most requested change to HAs was increased patient education and public awareness regarding older person HAs (n = 10). Health professionals felt increased patient education and public awareness, particularly to address patient misconceptions regarding older person HAs, may improve HA uptake.

Keywords: ageing, general practice, health assessments, primary health.


References

Australian Government Department of Health (2014) History of key MBS primary care initiatives 1999–2013 (Australian Government Department of Health: Canberra, ACT, Australia) Available at http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-History [Verified 5 November 2020]

Australian Government Department of Health (2019) Modified Monash Model (Australian Government Department of Health: Canberra, ACT, Australia) Available at https://www.health.gov.au/health-workforce/health-workforce-classifications/modified-monash-model [Verified 5 November 2020]

Australian Institute of Health and Welfare (2016) ‘Australian Burden of Disease Study: impact and causes of illness and death in Australia 2011.’ (AIHW: Canberra, ACT, Australia)

Blakeman TM, Harris MF, Comino EJ, Zwar NA (2001) Evaluating general practitioners’ views about the implementation of the Enhanced Primary Care Medicare items. The Medical Journal of Australia 175, 95–98.
Evaluating general practitioners’ views about the implementation of the Enhanced Primary Care Medicare items.Crossref | GoogleScholarGoogle Scholar | 11556428PubMed |

Byles JE, Francis L, McKernon M (2002) The experiences of non-medical health professionals undertaking community-based health assessments for people aged 75 years and over. Health & Social Care in the Community 10, 67–73.
The experiences of non-medical health professionals undertaking community-based health assessments for people aged 75 years and over.Crossref | GoogleScholarGoogle Scholar |

Cheffins T, Spillman M, Heal C, Kimber D, Brittain M, Lees M (2010) Evaluating the use of Enhanced Primary Care health assessments by general practices in North Queensland. Australian Journal of Primary Health 16, 221–223.
Evaluating the use of Enhanced Primary Care health assessments by general practices in North Queensland.Crossref | GoogleScholarGoogle Scholar | 20815991PubMed |

Elo S, Kyngäs H (2008) The qualitative content analysis process. Journal of Advanced Nursing 62, 107–115.
The qualitative content analysis process.Crossref | GoogleScholarGoogle Scholar | 18352969PubMed |

Gray LC, Newbury JW (2004) Health assessment of elderly patients. Australian Family Physician 33, 795–797.

Hamirudin AH, Ghosh A, Charlton K, Bonney A, Walton K (2015) Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation. Australian Journal of Primary Health 21, 423–428.
Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation.Crossref | GoogleScholarGoogle Scholar | 25200596PubMed |

Kelaher M, Dunt D, Thomas D, Anderson I (2005) Comparison of the uptake of health assessment items for Aboriginal and Torres Strait Islander people and other Australians: implications for policy. Australia and New Zealand Health Policy 2, 21

Ramisetty SR, D’Amore A, Chantler R, Greacen JH, Campbell DG, Mitchell EKL (2021) What is learned from an Australian older person health assessment? Australian Health Review
What is learned from an Australian older person health assessment?Crossref | GoogleScholarGoogle Scholar | 33647230PubMed |

Romm NRA, Litt et Phil D (2013) Employing questionnaires in terms of a constructivist epistemological stance: reconsidering researchers’ involvement in the unfolding of social life. International Journal of Qualitative Methods 12, 652–669.
Employing questionnaires in terms of a constructivist epistemological stance: reconsidering researchers’ involvement in the unfolding of social life.Crossref | GoogleScholarGoogle Scholar |

Visvanathan R, Amare AT, Lang C, Khadka J, Yu S, Beilby J, Wesselingh S, Inacio MC (2020) Utilisation of general practice health assessments around an aged care assessment is associated with lower mortality risk in older Australians. Age and Ageing 50, 120–126.