Subscribe to thousands of academic journals for just $40/month
Read and share the articles you need for your research, all in one place.

Articles. Short report. Compliance with recommendations in a geriatric outreach assessment service

Age and Ageing , Volume 29 (4) – Jul 1, 2000


Oxford University Press
Copyright © 2000 Oxford University Press
Publisher site
See Article on Publisher Site

Preview Only

Expand Tray Hide Tray

Articles. Short report. Compliance with recommendations in a geriatric outreach assessment service


Objectives: to measure the extent to which the recommendations of a geriatric outreach assessment service were being followed, and to determine what patient-related factors were associated with compliance with assessment recommendations. Methods: eighty-one eligible patients or caregivers who had an assessment in a geriatric outreach service participated in a telephone interview. The interview focused on the use of health services and compliance with assessment recommendations. Patient-related variables obtained from charts included demographics, caregiver support and stability, health status and assessment recommendations. Results: overall compliance with recommendations from the geriatric outreach assessment services was 65%. Patients were less likely to comply fully with recommendations if they had a higher number of recommendations odds ratio (OR) = 0.23; 95% confidence interval (CI) = 0.12-0.46; P = 0.0001, inadequate caregiver support (OR = 0.212; 95% CI = 0.04 to 1.02; P = 0.0523, or the ability to transfer themselves independently (OR = 0.12; 95% CI = 0.02-0.63; P = 0.0124). They were more likely to have full compliance if they had normal vision (OR = 6.67; 95% CI = 1.22-36.46; P = 0.0284). Conclusion: it is important to focus on key issues when developing service recommendations and on the role of the informal caregiver in facilitating compliance with them. Good communication between the patient or caregiver and the family physician and geriatric services can help to identify strategies which might improve acceptance of recommendations. Keywords: community-based service, compliance, geriatric assessment
Loading next page...

Preview Only. This article cannot be rented because we do not currently have permission from the publisher.