Barriers to and facilitators of comprehensive geriatric assessment in primary care in France: a qualitative study exploring physicians' and nurses' experiences.

ABSTRACT:

Background

Comprehensive geriatric assessment (CGA) is intended to address the complex care needs of frail, older adults. The CEpiA cluster-randomized trial assessed the effectiveness of CGA in France as part of complex interventions in two arms: a CGA adapted for use in primary care was conducted by a registered nurse (RN) or a general practitioner (GP). The trial's shared decision aid for the CGA-personalized care plan (PCP) was novel in two ways: tailored to primary care and aiming to improve patient engagement. The study found no significant effect on mortality, functional independence, or quality of life but suggested a reduced risk of unplanned hospital admission with GP-led CGA. It also highlighted the need to explore the CGA's perceived utility and feasibility in routine pr

SUBMITTER: Orcel V 

PROVIDER: S-EPMC12754865 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature