Key enablers and barriers to general practitioner-led preoperative optimisation
| Driver | Enablers | Barriers |
|---|---|---|
| ‘Buy-in’ | GPs reported agreement that preoperative medical optimisation of older people can improve postoperative outcomes. | Self-perception among GPs as having low importance in the surgical pathway. |
| Opportunity | GPs reported identifying modifiable risk factors in many of the older patients referred to surgery | Low frequency of exposure to older patients in the surgical pathway in routine practice. |
| Participation | GPs reported that they have a role in discussing modifiable surgical risk factors with patients. | Low levels of awareness of, and interaction with, perioperative medical services. |
| Collaboration | GPs reported that they have a role in shared decision making in the surgical pathway. | Low exposure to interdisciplinary training in perioperative medicine. |
GPs = general practitioners.