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. 2013 Feb 21;63(608):e225–e231. doi: 10.3399/bjgp13X664289
Barriers Facilitators
Professionals’ appraisal Professionals’ appraisal
Assessment not resulting in a quantitative cut-off score Assessment not resulting in a quantitative cut-off score
Not incorporated in the routine of daily practice Becoming aware of the seriousness of the situation of some frail older patients
Organising home visit for assessment in the second step is time consuming Provides starting points for further intervention
An implementation protocol is missing Normally you only focus on domains where there are problems, but now you have to check out all domains of functioning
Contacting an informal caregiver is difficult It makes the GP aware of the diversity of problems that may be present in older patients
Patients may give socially desirable answers It will motivate patients to consult a GP sooner
Too little experience with frailty in older people; therefore it is hard to make the final judgement on frailty It enhances patient satisfaction