Discussing age-related functional decline in family medicine: a qualitative study that explores both patient and physician perceptions

Abstract

Background: evaluating a patient's functional status and screening for geriatric syndromes by general practitioners (GPs) are increasingly encouraged. This study aimed to explore how older people and GPs define and perceive autonomy and functional decline, patients' propensity to discuss age-related issues and integration of such topics into routine medical consultations. Methods: this qualitative study was conducted in Western Switzerland with older people followed in primary care practices and who participated in a trial assessing the effectiveness of a screening and management tool for geriatric syndromes to prevent functional decline. We interviewed 15 participants (patients >= 75 years old) and five GPs about their screening experience. We used semi-structured grids for data collection and an inductive thematic approach for data analysis

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