Measurement of functional status in primary care: the role of the interprofessional team.

Measuring functional status allows clinicians to deliver evidence-based interventions to prevent or delay associated adverse outcomes. Functional status is seldom routinely measured in primary care settings where most older adults receive care. Interprofessional team-based care is increasingly regar...

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Publicado en:Journal of Interprofessional Care Vol. 40; no. 1; pp. 67 - 76
Autores principales: Zamora-Rogoski, Kara A., Brown, Rebecca T., Rizzo, Anael, Nicosia, Francesca M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan/Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2026
      vid: 40
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Measurement of functional status in primary care: the role of the interprofessional team.
      aug:
        au:
          Zamora-Rogoski, Kara A.
          Brown, Rebecca T.
          Rizzo, Anael
          Nicosia, Francesca M.
        affil: San Francisco VA Healthcare System
      sug:
        subj:
          Geriatric Functional Assessment Psychosocial Factors
          Primary Health Care
          Multidisciplinary Care Team
          Professional Role
          Attitude of Health Personnel Evaluation
          United States Department of Veterans Affairs
          Human
          Funding Source
          Multicenter Studies
          Hospitals, Veterans
          Scales
          Nursing Staff, Hospital
          Practical Nurses
          Registered Nurses
          Social Workers
          Physicians, Family
          Formative Evaluation Research
          Qualitative Studies
          Purposive Sample
          Descriptive Statistics
          Data Analysis Software
          Communication
          Interprofessional Relations
          United States
          Activities of Daily Living Evaluation
          Aged
          Aged, 80 and Over
          Semi-Structured Interview
          Audiorecording
          Workflow
          Scope of Practice
          Scope of Nursing Practice
          Referral and Consultation
          Geriatricians
          Hand Off (Patient Safety)
          Record Review
          Caregiver Attitudes
          Family Attitudes
          Occupational Therapy Assessment
          Physical Therapy Assessment
          Health Screening
          Self Report
          Cognition Disorders
          Patient Safety
          Aged: 65+ years
          Aged, 80 & over
      ab: Measuring functional status allows clinicians to deliver evidence-based interventions to prevent or delay associated adverse outcomes. Functional status is seldom routinely measured in primary care settings where most older adults receive care. Interprofessional team-based care is increasingly regarded as an important feature of high quality and efficient health care systems. Yet despite growing evidence of the benefits of team-based care, in primary care there are not yet standards for how to operationalize interprofessional practice. In this study we explored interprofessional perspectives on assessing functional status among older adults in team-based VA primary care clinics. We conducted qualitative interviews with 57 primary care team members (nursing staff, primary care providers, and social workers) from six geographically diverse VA medical centers. We drew from implementation science frameworks and sociotechnical theories to ground our thematic analysis in dynamic, real-world contexts. Interviews revealed the view that all primary care team members play a role in measuring and addressing functional status. Participants also described a perceived hierarchy of accuracy of assessment based on role and outlined strategies for validating the accuracy of functional status assessments. These results can inform guidelines for functional status measurement in primary care that improve interprofessional assessment and team-based communication.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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