TITLE

Priority Setting in General Practice: Health Priorities of Older Patients Differ from Treatment Priorities of Their Physicians

AUTHOR(S)
Voigt, Isabel; Wrede, Jennifer; Diederichs-Egidi, Heike; Dierks, Marie-Luise; Junius-Walker, Ulrike
PUB. DATE
December 2010
SOURCE
Croatian Medical Journal;Dec2010, Vol. 51 Issue 6, p483
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim To ascertain health priorities of older patients and treatment priorities of their general practitioners (GP) on the basis of a geriatric assessment and to determine the agreement between these priorities. Methods The study included a sample of 9 general practitioners in Hannover, Germany, and a stratified sample of 35 patients (2-5 patients per practice, 18 female, average age 77.7 years). Patients were given a geriatric assessment using the Standardized Assessment for Elderly Patients in Primary Care (STEP) to gain an overview of their health and everyday problems. On the basis of these results, patients and their physicians independently rated the importance of each problem disclosed by the assessment. Whereas patients assessed the importance for their everyday lives, physicians assessed the importance for patients' medical care and patients' everyday lives. Results Each patient had a mean ±standard deviation of 18±9.2 health problems. Thirty five patients disclosed a total of 634 problems; 537 (85%) were rated by patients and physicians. Of these 537 problems, 332 (62%) were rated by patients and 334 (62%) by physicians as important for patients' everyday lives. In addition, 294 (55%) were rated by physicians as important for patients' medical care. Although these proportions of important problems were similar between patients and physicians, there was little overlap in the specific problems that each group considered important. The chance-corrected agreement (Cohen κ) between patients and physicians on the importance of problems for patients' lives was low (κ=0.23). Likewise, patients and physicians disagreed on the problems that physicians considered important for patients' medical care (κ=0.18,P<0.001 for each). Conclusion The low agreement on health and treatment priorities between patients and physicians necessitates better communication between the two parties to strengthen mutual understanding.
ACCESSION #
58713933

 

Related Articles

  • Disclosure of New Health Problems and Intervention Planning Using a Geriatric Assessment in a Primary Care Setting. Mueller, Christiane Annette; Klaaßen-Mielke, Renate; Penner, Erika; Junius-Walker, Ulrike; Hummers-Pradier, Eva; Theile, Gudrun // Croatian Medical Journal;Dec2010, Vol. 51 Issue 6, p493 

    Aim To determine the prevalence of health problems uncovered by a Standardized Assessment for Elderly Patients in a Primary Care Setting (STEP), to explore how often STEP uncovered conditions new to general practitioners (GP) and ascertain how often STEP results led GPs to plan further...

  • GPs' perspectives on preventive care for older people: a focus group study. Drewes, Yvonne M.; Koenen, Julia; de Ruijter, Wouter; van Dijk-van Dijk, D. J. Annemarie; van der Weele, Gerda M.; Middelkoop, Barend J. C.; Reis, Ria; Assendelft, Willem J. J.; Gussekloo, Jacobijn // British Journal of General Practice;Nov2012, Vol. 62 Issue 604, p582 

    The article discusses a research study on perspectives of general practitioners (GPs) on preventive care for older patients. Conducted were six discussions of focus groups by asking questions on perceptions about aging, appropriateness of health checks and influence on primary care of geriatric...

  • Particularități în examinarea psihiatrică a vârstnicului. TUDOSE, CĂTĂLINA // Romanian Journal of Medical Practice;2013, Vol. 8 Issue 1, p5 

    The article proposes to underline the difficulties encountered by the family physician in his elderly patient examination, starting from the finding that the change of ages pyramid has modified completely the pathology structure. Solutions are presented for an accurate examination and for...

  • Update in Geriatric Medicine. Cayea, Danelle; Eckstrom, Elizabeth; Christmas, Colleen // JGIM: Journal of General Internal Medicine;Mar2012, Vol. 27 Issue 3, p371 

    INTRODUCTION: With an aging population, internists will provide care to a growing number of older adults, a population at risk of developing multiple chronic medical conditions and geriatric syndromes. For this update in geriatric medicine, we highlight recent key articles focused on preventive...

  • Editor's Note.  // Canadian Bulletin of Medical History;2007, Vol. 24 Issue 1, p5 

    The article discusses various reports published within the issue, including one by David Hogan on Canadian geriatrics and another by Stéphanie Tésio on a comparative study of the history of French physicians.

  • Day hospital care by general practitioners in a cottage/ community hospital. Jones, David T.; Ramaiah, R. Sampangi // British Medical Journal (Clinical Research Edition);11/28/1981, Vol. 283 Issue 6304, p1439 

    Focuses on the hospital care of general practitioner in the community hospital. Provisions of health care on geriatric wards; Supervision on the administration of geriatric medicine; Functions of the general practitioner on the field of geriatric medicine.

  • Scotland introduces polypharmacy checks.  // Pulse;11/14/2012, Vol. 72 Issue 37, p11 

    The article informs that Scottish government wants the general practitioners to carry out medication reviews in older patients who are at risk in order to reduce the rate of polypharmacy.

  • Too many specialists spoil the pot. Sherman, Fredrick T. // Geriatrics;Jul2003, Vol. 58 Issue 7, p9 

    Editorial. Discusses the need for the medical profession to address the need of older patients to have just one physician who will assume full responsibility for overall care. Need for a primary care physician to learn several skills that will enable them to reduce the anxiety of having to...

  • CO-MANAGING GERIATRIC PATIENTS COULD IMPROVE CARE.  // Medical Economics;8/25/2013, Vol. 90 Issue 16, p11 

    The article reports that according to a study, published in the "Journal of the American Geriatrics Society," co-management of geriatric conditions by primary care physicians and nurse practitioners (NPs) improves the quality of care.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics