279 Involving Older Patients In European General Practice - Evaluation Of A Consultation Leaflet.

Author(s): 
Aaen Geest T (1), Wetzels RV (2), Wensing M (2), Castel O (3), Olesen F (1)
(1) Research Unit for General Practice, Department of Family Medicine, Aarhus, Denmark
(2) Centre for Quality of Care Research, UMC St Radboud, Nijmegen, the Netherlands
(3) Department of Family Medicine Technion, Haifa, Israel
Text: 
Aim Evaluation of an intervention package that aimed to increase involvement of older patients in general practice care.
Design Uncontrolled before-after-study in eleven countries (Austria, Belgium, Denmark, England, France, Israel, Germany, Netherlands, Portugal, Slovenia and Switzerland).
Population
In each country twelve GPs and 15 patients (aged > 70) per GP were recruited.
Intervention
The intervention package (consultation leaflet for patients, outreach visit or workshop for GPs) was aimed at motivating, instructing and facilitating general practitioners and older patients to increase an older patient's involvement in general practice care.
Outcome measures
Main outcome measures were patient reported enablement and evaluations of care (PEI, EUROPEP and COMRADE).
Results Pre-intervention 1434 patients and 131 GPs, and post-intervention 875 patients and 82 GPs returned the questionnaires. Pre-intervention, the patients (97,7%) agreed that doctors should discuss examination and treatment options with them. There was controversy about who should decide about treatment. Patients were generally satisfied with the care given and were better able to cope with their problems after the consultation. Post-intervention these outcome measures did not significantly change. Almost half of all patients used the leaflet during the consultation, 60% discussed the points they had written down. 40% of the patients thought the consultation went better because of the leaflet.
Conclusion
This consultation leaflet implementation programme to enhance involvement of older patients in general practice care did not show changes in patients' involvement, satisfaction or coping.
Literature: 
279 INVOLVING OLDER PATIENTS IN EUROPEAN GENERAL PRACTICE - EVALUATION OF A CONSULTATION LEAFLET.