The MRC trial of assessment and management of older people in the community: objectives, design and interventions ISRCTN23494848Reportar como inadecuado

The MRC trial of assessment and management of older people in the community: objectives, design and interventions ISRCTN23494848 - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Health Services Research

, 2:21

First Online: 25 October 2002Received: 20 June 2002Accepted: 25 October 2002DOI: 10.1186-1472-6963-2-21

Cite this article as: Fletcher, A., Jones, D., Bulpitt, C. et al. BMC Health Serv Res 2002 2: 21. doi:10.1186-1472-6963-2-21


BackgroundThe benefit of regular multidimensional assessment of older people remains controversial. The majority of trials have been too small to produce adequate evidence to inform policy. Despite the lack of a firm evidence base, UK primary care practitioners general practitioners are required to offer an annual health check to patients aged 75 years and over.

DesignCluster-randomised factorial trial in primary care comparing a package of assessments i universal versus targeted assessment and ii management by the primary care team PC or a multidisciplinary geriatric assessment team GM. The unit of randomization is the general practice.

MethodsOlder people aged 75 and over eligible for the over 75s health check and excluding those in nursing homes or terminally ill were invited to participate. All participants receive a brief assessment covering all areas of the over 75s check. In the universal arm all participants also receive a detailed health and social assessment by a study nurse while in the targeted arm only participants with a pre-determined number and range of problems at the brief assessment go on to have the detailed assessment. The study nurse follows a standard protocol based on results and responses in the detailed assessment to make referrals to i the randomised management team PC or GM ii other medical services, health care workers or agencies iii emergency referrals to the GP. The main outcomes are mortality, hospital and institutional admissions and quality of life. 106 practices and 33,000 older people have been recruited to the trial.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-2-21 contains supplementary material, which is available to authorized users.

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Autor: AE Fletcher - DA Jones - CJ Bulpitt - AJ Tulloch


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