Navigation Links
Going to physician visits with older loved ones could improve care
Date:1/23/2012

Family companions who routinely accompany older adults to physician office visits could be helpful to health care quality improvement efforts, according to a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health. The authors found that three-quarters of older adults who attend physician visits with a family companion are consistently accompanied over time, nearly always by the same companion. The results are featured in the January 2012 issue of the Journal of the American Geriatrics Society.

"Continuity of care is a central tenant of an effective patient-provider partnership," said Jennifer L. Wolff, PhD, lead author of the study and an associate professor with the Bloomberg School's Department of Health Policy and Management. "Our study documents that the patient-provider relationship often includes a consistently present and actively engaged family member. This work suggests that quality of care improvements may result from more productive communication and education that targets both patients and their companions."

Wolff and her colleagues at the Johns Hopkins schools of Public Health, Nursing and Medicine, and Weill Cornell Medical College analyzed a national survey of Medicare beneficiaries ages 65 years or older. The researchers studied the influence of socio-demographic characteristics, health status and physical function in regard to consistent accompaniment to physician visits. They also examined the activities performed by older adults' family companions during medical visits.

The researchers found that 75 percent of the 9.5 million older adults who attended routine physician visits with a family companion were consistently accompanied at 12 months follow-up. Nearly 9 in 10 (87.9%) beneficiaries who were consistently accompanied over time were accompanied by the same companion. Patients who were older, less educated and diagnosed with multiple chronic conditions were more likely to be consistently accompanied at one year follow-up.

Nearly 35.5 percent of accompanied beneficiaries were physically disabled and received help with daily activities from their family companion. Companions of these patients were more active in visit communication by providing information directly to the doctor (70.5%), asking the doctor questions (67.1%) and explaining the doctor's instructions to the patient (54.5%).

"Initiatives to improve older adults' quality of chronic illness care have typically focused on improving health care professional and patient competencies, and have ignored the fact that Medicare beneficiaries often manage their health conditions and attend routine physician visits with a family member, predominantly a spouse or an adult child," said Wolff. "Results from this study may help inform health reform initiatives that seek to improve care quality and lower costs, such as the Patient Centered Medical Home."

Previous studies have shown that Medicare beneficiaries who attend routine physician visits with a family companion are disproportionately vulnerable by age, education and health, and that their Medicare expenditures are twice as high as those beneficiaries who are not accompanied by a companion.


'/>"/>
Contact: Natalie Wood-Wright
nwoodwri@jhsph.edu
410-614-6029
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

Related medicine news :

1. One Month after Major Quake, Ongoing Crises for Haitian Children
2. Vaccine Not Fail-Safe in Ongoing Mumps Outbreak
3. Ongoing Toyota Recall Holds Serious Liability Implications For Manufacturer, but Consumers Must Be Protected, Says Texas Attorney Brad T. Wyly
4. Oakland Taxicabs Are Going Green!
5. Child Obesity Rates Going Up
6. Ecobumz Diapers are Going Green While Investing in its Own Community and Employing Women Looking to Enter or Re-enter the Workplace
7. Palpable breast cancers are more common in women not undergoing annual mammography
8. New York Medical Malpractice Attorney Recommends Cancer Patients Take Precautionary Steps Before Undergoing Radiation Therapy
9. Touching Souls International Giving Free Cataract Surgery and Eye Treatment in Bangladesh as Part of Ongoing Program June 6
10. UND Acquires ProtectionPlus in Ongoing Effort to Reduce Nuclear Stress Testing Costs for Physicians
11. H1N1 Flu Undergoing Genetic Changes in Pigs
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/21/2017)... ... July 21, 2017 , ... Thomas Jefferson ... Witness , was awarded a $300,000 grant from The Pew Center for Arts ... with ambiguity and the recognition of one’s own limits among health professions students. ...
(Date:7/21/2017)... ... July 21, 2017 , ... ... $5,000 grant from the C. R. Bard Foundation, Inc. to support ... Hills , a service available through the nonprofit home care agency. Using evidence-based ...
(Date:7/21/2017)... ... 21, 2017 , ... In the first prospective ACL reconstruction ... Outcome Network (MOON) demonstrated that patients could perform sports-related functions and maintain a ... over time. The study, presented today at the American Orthopaedic Society for ...
(Date:7/20/2017)... MA (PRWEB) , ... July 20, 2017 , ... ... form of blood and bone marrow cancer that progresses rapidly without treatment. Newly ... recommended to reduce the chance of reoccurrence and relapse. With such a ...
(Date:7/20/2017)... ATLANTA, Ga. (PRWEB) , ... July 20, 2017 , ... ... and equal access to medicine for everyone affected by diabetes, is teaming up with ... the five-day global event kicks off on July 24th. , “Team Type 1’s ...
Breaking Medicine News(10 mins):
(Date:7/19/2017)...  Mako Medical Laboratories partnered with Secretary Strickland, the ... Fund (MFA) to bring 140 soldiers back home to ... families one last time before being deployed. Mako Medical ... logistics needed for these soldiers. "Mako Medical Laboratories is ... We just wish we could bring them all home," ...
(Date:7/13/2017)...  Centurion Medical Products, a leader in medical product innovation and ... removal device for hospice patient care. ... Centurion Medical Products ... Patient pain management and emotional comfort are part of a ... pain while preventing unneeded emergency department admission due to severe fecal ...
(Date:7/11/2017)... , July 11, 2017 Zymo Research Corp., also known ... that can quantify biological aging in a precise manner using the myDNAge ... Steve Horvath , a professor of human genetics and biostatistics at the ... School of Public Health , Zymo Research,s proprietary DNAge ™ technology ... ...
Breaking Medicine Technology: