Display Settings:

Format

Send to:

Choose Destination
J Am Geriatr Soc. 2008 Oct;56(10):1807-11. doi: 10.1111/j.1532-5415.2008.01942.x.

A comparison of how generalists and fellowship-trained geriatricians provide "geriatric" care.

Author information

  • 1Department of Medicine, Divisions of Gerontology and Geriatric Medicine, , University of Washington, Seattle, Washington 98104, USA. phelane@u.washington.edu

Abstract

OBJECTIVES:

To determine whether outpatient care provided to older patients by fellowship-trained geriatricians is distinguishable from that provided by generalists.

DESIGN:

Observational study.

SETTING:

Three primary care clinics of an academic medical center.

PARTICIPANTS:

Random sample of 140 adults aged 65 and older receiving primary care at one of the clinics.

MEASUREMENTS:

A medical chart review involving records of 69 patients receiving primary care from a fellowship-trained geriatrician and 71 patients receiving primary care from a generalist (general internal medicine or family practice) was conducted; information pertaining to two practice behaviors relevant to the care of older adults--avoidance of inappropriate prescribing and proactive assessments for geriatric syndromes--was abstracted.

RESULTS:

Geriatricians scored 17.6 out of a possible 24 points, on average; generalists scored 14.2 (P<.001). Geriatricians scored higher than generalists on prescribing and geriatric syndrome assessments. In a linear regression model adjusting for patient age and number of comorbidities and clustering according to provider, provider specialty was strongly associated with overall score (beta coefficient for specialty=6.75, P<.001; 95% confidence interval=4.57-8.94).

CONCLUSION:

The practice style of fellowship-trained geriatricians caring for older adults appears to differ from that of generalists with regard to prescribing behavior and assessment for geriatric syndromes.

PMID:
19054199
[PubMed - indexed for MEDLINE]
PMCID:
PMC3003439
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing Icon for PubMed Central
    Loading ...
    Write to the Help Desk