alexa Abstract | Health and treatment priorities of older patients and their general practitioners: a cross-sectional study

Quality in Primary Care
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Paper Open Access

Abstract

Background General practitioners (GPs) deal with the multiple health needs of older patients. During patient encounters GPs are often only able to manage a limited number of problems and tend to focus on single diseases resulting in fragmented and overloaded care. A systematic approach that considers multiple health problems simultaneously and sets priorities for treatment is necessary. Aim To disclose patients’ and doctors’ perspectives on individual health and treatment priorities. MethodsCross-sectional study in which 123 older patients and their 11 GPs evaluated the importance and severity of patients’ individual health problems. Patients were systematically enrolled to receive a geriatric assessment. This generated a problem list on the basis of which patients and their GPs independently rated the importance and components of severity (in relation to emotional experience, hindrance in everyday life and prognosis) of each problem. The proportion of important problems and the chance corrected agreement (Cohen’s Kappa) of importance between doctors and patients were assessed. Multilevel logistic regression models were used to relate the importance of a problem with its severity components – from the perspective of both the patient and the doctor. Results Patients and GPs considered about two thirds of all disclosed health problems important (69% and 64% respectively). However, they perceived different problems as important (Kappa 0.11). Doctors and patients also related different components of severity to the importance of a problem: the strongest predictor of a problem’s importance for patients was the emotional experience, whereas for doctors it was an unfavourable prognosis. Conclusion Patients and doctors have different perspectives on the importance of health problems.Setting priorities for treatment necessitates an open exchange of views on what to treat.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Ulrike JuniusWalker Dagmar Stolberg Patricia Steinke Gudrun Theile Eva HummersPradier Marie Luise Dierks

Keywords

Innovative primary care, Primary care medicines, Advanced concepts in primary care

 
Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords