Primary Care for Elderly People Why Do Doctors Find It So Hard
Wendy L. Adams,Helen E. McIlvain,Naomi L. Lacy,Homa Magsi,Benjamin F. Crabtree,Sharon K. Yenny,Michael A. Sitorius +6 more
Reads0
Chats0
TLDR
Much of the difficulty participants experienced could be facilitated by changes in the health care delivery system and in medical education, and the voices of these physicians and the model resulting from the analysis can inform change.Abstract:
Purpose: Many primary care physicians find caring for elderly patients difficult. The goal of this study was to develop a detailed understanding of why physicians find primary care with elderly patients difficult. Design and Methods: We conducted in-depth interviews with 20 primary care physicians. Using an iterative approach based on grounded theory techniques, a multidisciplinary team analyzed the content of the interviews and developed a conceptual model of the difficulty. Results: Three major domains of difficulty emerged: (i) medical complexity and chronicity, (ii) personal and interpersonal challenges, and (iii) administrative burden. The greatest challenge occurred when difficulty in more than one area was present. Contextual conditions, such as the practice environment and the physician’s training and personal values, shaped the experience of providing care and how difficult it seemed. Implications: Much of the difficulty participants experienced could be facilitated by changes in the health care delivery system and in medical education. The voices of these physicians and the model resulting from our analysis can inform such change.read more
Citations
More filters
Journal ArticleDOI
The qualitative research interview
TL;DR: This work examines less structured interview strategies in which the person interviewed is more a participant in meaning making than a conduit from which information is retrieved.
Journal ArticleDOI
Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives.
W Ladson Hinton,Carol E. Franz,Geetha Reddy,Yvette G. Flores,Richard L. Kravitz,Judith C. Barker +5 more
TL;DR: Physicians often feel challenged in caring for dementia patients, particularly those who are more behaviorally complex, because of time and reimbursement constraints as well as other perceived barriers, which may lead to delayed detection of behavior problems.
Journal ArticleDOI
Sharing qualitative research findings with participants: study experiences of methodological and ethical dilemmas.
TL;DR: Benefits and risks in applying member-check when studying healthcare topics are explored, questioning the way it should be performed.
Journal ArticleDOI
Health care experiences of people with dementia and their caregivers: a meta-ethnographic analysis of qualitative studies
TL;DR: The health care experience of people with dementia and their caregivers is a complex and dynamic process, which could be improved for many people, and understanding these experiences provides insight into potential gaps in existing health services.
Journal ArticleDOI
Ageism and Ageist Language Across the Life Span: Intimate Relationships and Non-intimate Interactions
TL;DR: The possible effects of ageist language and ageism on the structure and function of intimate and non-intimate relationships have received significant attention from social scientists as discussed by the authors, focusing specifically on health care settings.
References
More filters
Journal ArticleDOI
A survey of leading Chronic disease management programs: Are they consistent with the literature?
TL;DR: Survey and site visits of the chronic disease management activities of 72 programs nominated by experts in the field of chronic illness care were described as being particularly innovative and effective, and the surveys indicated common barriers to further expansion of innovative pilot programs.
Journal ArticleDOI
Physician job satisfaction : Developing a model using qualitative data.
Julia E. McMurray,Julia E. McMurray,Eric S. Williams,Mark D. Schwartz,Mark D. Schwartz,Jeffrey A. Douglas,Judith Van Kirk,T. Robert Konrad,Martha S. Gerrity,Martha S. Gerrity,Judy Ann Bigby,Judy Ann Bigby,Mark Linzer +12 more
TL;DR: In this paper, the authors developed a current and comprehensive model of physician job satisfaction by analyzing open-ended responses from a large group practice physician survey in 1988 and analysis of focus group data of diverse physician subgroups from 1995.
Journal ArticleDOI
Building Bridges Between Families and Nursing Home Staff: The Partners in Caregiving Program
TL;DR: The Partners in Caregiving program was created to train staff and family members in communication techniques and conflict resolution skills and through a joint meeting with facility administrators, both groups also have the opportunity to influence facility practices.
Journal ArticleDOI
How satisfying is the practice of internal medicine ? a national survey
TL;DR: A survey of members of the American College of Physicians found that more than 80% of them were satisfied with their relationships with patients, professional challenges, and opportunities to interact with colleagues.
Journal ArticleDOI
Physicians’ Perceptions of Autonomy And Satisfaction In California
TL;DR: This study compares levels of satisfaction and autonomy among California physicians using data from a 1991 survey of physicians and a 1996 survey of California physicians to measure physicians' perceived freedom to undertake eight common activities that may be threatened by marketplace changes.