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Going It Together: Persistence of Older Adults' Accompaniment to Physician Visits by a Family Companion.
- Source :
- Journal of the American Geriatrics Society; Jan2012, Vol. 60 Issue 1, p106-112, 7p, 3 Charts
- Publication Year :
- 2012
-
Abstract
- Objectives Although older adults are often accompanied to routine physician visits and commonly receive disability-related task assistance, the overlap and persistence of this help is not well understood. This study investigates whether older adults who are accompanied to routine physician visits (1) also receive task assistance and (2) continue to be accompanied at 12-months by the same family companion. Design Observational study. Setting Nationally representative survey. Participants Community-dwelling adults aged 65 and older who responded to the Medicare Current Beneficiary Survey ( MCBS) in 2006 (n = 11,582) and a subset (n = 7,510) who responded in 2005 and 2006. Measurements Accompaniment to physician visits by a family companion and receipt of task assistance with activities of daily living ( ADLs) or instrumental activities of daily living ( IADLs). Persistent accompaniment and consistent family companion involvement was ascertained from 2005 and 2006 survey responses. Results Among community-dwelling older adults, 18.6% were accompanied to physician visits only, and 12.7% were accompanied to physician visits and received task assistance. Accompanied older adults who received task assistance were older, less educated, and had worse self-rated health than their counterparts who were accompanied only. Family companions who provided task assistance (vs those who did not) were more actively engaged in physician visit processes and more often identified as always present. Three-fourths (74.5%) of accompanied older adults were persistently accompanied to physician visits at 12 months, nearly always (87.9%) by the same family companion. Receipt of task assistance was strongly associated with persistent accompaniment (aOR = 2.52; 95% CI: 1.93-3.29). Conclusions Older adults' accompaniment to physician visits typically persists, most often by consistently involved family companions. Findings have implications for the patient-physician partnership and the patient-centered medical home. [ABSTRACT FROM AUTHOR]
- Subjects :
- CONFIDENCE intervals
EPIDEMIOLOGY
FAMILIES
PATIENT-family relations
MEDICAL appointments
MEDICAL personnel
SCIENTIFIC observation
PANEL analysis
PHYSICIAN-patient relations
RESEARCH funding
SURVEYS
DATA analysis
ACTIVITIES of daily living
MULTIPLE regression analysis
SOCIAL support
FAMILY roles
CROSS-sectional method
PATIENTS' families
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 60
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 70285457
- Full Text :
- https://doi.org/10.1111/j.1532-5415.2011.03770.x