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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-12874
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dc.contributor.authorEichler, Klaus-
dc.contributor.authorScrabal, Clemens-
dc.contributor.authorSteurer, Johann-
dc.contributor.authorMann, Eva-
dc.date.accessioned2018-11-16T07:56:03Z-
dc.date.available2018-11-16T07:56:03Z-
dc.date.issued2007-
dc.identifier.issn0263-2136de_CH
dc.identifier.issn1460-2229de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/12874-
dc.description.abstractBackground: Health risk appraisals (HRAs) are recommended for detection of potentially modifiable risk factors for health status decline of older people. Little is known how family physicians manage detected risk factors. Objective: We evaluated (i) if risk factors in one or more of five predefined domains were detected in a primary care-based HRA and (ii) how often these findings had an impact on the further management of patients. Methods: We performed a prospective observational study in a rural community in Austria and included persons (age ≥ 70 years) living at home. We applied the standardized assessment for elderly people in primary care (STEP) instrument and evaluated risk factors for status decline assessing five domains (cognitive function, depression, urinary incontinence, hearing impairment and mobility/falls). Results: Two hundred and sixty-four persons participated and the HRA revealed a wide range of risk factors for health status decline [from 4.5% (12/264) in the depression domain up to 31% (81/264) for mobility/falls and 41% (107/264) in the cognitive domain]. The findings had an impact on the further management in four domains: hearing impairment (100% of findings with impact), mobility/falls (93%), depression (83%) and urinary incontinence (65%). In contrast, abnormal cognitive findings lead to action only in every fifth participant (18%; 19/107). Conclusion: In contrast to other domains, family physicians are hesitant to act upon abnormal findings of cognitive testing. Additional knowledge is needed to clarify the value of abnormal cognitive findings for management of patients and support of their carers.de_CH
dc.language.isoende_CH
dc.publisherOxford University Pressde_CH
dc.relation.ispartofFamily Practicede_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectAgedde_CH
dc.subjectDementiade_CH
dc.subjectHealth risk appraisalde_CH
dc.subjectPreventive health servicesde_CH
dc.subjectPrimary health carede_CH
dc.subject.ddc610: Medizin und Gesundheitde_CH
dc.titlePreventive health risk appraisal for older people and impact on GPs' patient management : a prospective studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1093/fampra/cmm063de_CH
dc.identifier.doi10.21256/zhaw-12874-
dc.identifier.pmid17986626de_CH
zhaw.funding.euNode_CH
zhaw.issue6de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end609de_CH
zhaw.pages.start604de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume24de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedAngewandte Gerontologiede_CH
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Eichler, K., Scrabal, C., Steurer, J., & Mann, E. (2007). Preventive health risk appraisal for older people and impact on GPs’ patient management : a prospective study. Family Practice, 24(6), 604–609. https://doi.org/10.1093/fampra/cmm063
Eichler, K. et al. (2007) ‘Preventive health risk appraisal for older people and impact on GPs” patient management : a prospective study’, Family Practice, 24(6), pp. 604–609. Available at: https://doi.org/10.1093/fampra/cmm063.
K. Eichler, C. Scrabal, J. Steurer, and E. Mann, “Preventive health risk appraisal for older people and impact on GPs’ patient management : a prospective study,” Family Practice, vol. 24, no. 6, pp. 604–609, 2007, doi: 10.1093/fampra/cmm063.
EICHLER, Klaus, Clemens SCRABAL, Johann STEURER und Eva MANN, 2007. Preventive health risk appraisal for older people and impact on GPs‘ patient management : a prospective study. Family Practice. 2007. Bd. 24, Nr. 6, S. 604–609. DOI 10.1093/fampra/cmm063
Eichler, Klaus, Clemens Scrabal, Johann Steurer, and Eva Mann. 2007. “Preventive Health Risk Appraisal for Older People and Impact on GPs’ Patient Management : A Prospective Study.” Family Practice 24 (6): 604–9. https://doi.org/10.1093/fampra/cmm063.
Eichler, Klaus, et al. “Preventive Health Risk Appraisal for Older People and Impact on GPs’ Patient Management : A Prospective Study.” Family Practice, vol. 24, no. 6, 2007, pp. 604–9, https://doi.org/10.1093/fampra/cmm063.


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