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Let's talk: The nature of the health care surrogate-clinician relationship
Date:8/8/2012

nt regular and coordinated updates from someone -- it doesn't have to be a physician. The health care system will have to change to meet this need, and in future studies we will be looking at how this can be accomplished," she said.

In a 2009 survey of physicians, Dr. Torke found that communication with surrogates is often delayed or infrequent. The 2012 survey of surrogates suggests that delays or lack of frequency may be a cause of distress for surrogates. The new study, "Communicating With Clinicians: The Experiences of Surrogate Decision-Makers for Hospitalized Older Adults" appears in the August 2012 issue of the Journal of the American Geriatrics Society.

The study authors surveyed 35 surrogates who recently made a major medical decision for a hospitalized older adults. Eighty percent of the surrogates were female; 56 percent were African-American and 44 percent were white. Responses did not vary by gender or race.

Surrogates' relationships with clinicians were often fragmented and brief. "Even the presence of hospitalists may not make a real difference. They work in shifts and are unlikely to have had a relationship with the patient or family prior to admission," Dr. Torke said.


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Contact: Cindy Fox Aisen
caisen@iupui.edu
317-843-2276
Indiana University School of Medicine
Source:Eurekalert  

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