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Journal article
Going It Together: Persistence of Older Adults' Accompaniment to Physician Visits by a Family Companion
Journal of the American Geriatrics Society (JAGS), v 60(1), pp 106-112
01 Jan 2012
PMID: 22211465
Featured in Collection : UN Sustainable Development Goals @ Drexel
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. J Am Geriatr Soc 60:106-112, 2012.
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Details
- Title
- Going It Together: Persistence of Older Adults' Accompaniment to Physician Visits by a Family Companion
- Creators
- Jennifer L. Wolff - Johns Hopkins UniversityCynthia M. Boyd - Johns Hopkins UniversityLaura N. Gitlin - Johns Hopkins UniversityMartha L. Bruce - Cornell UniversityDebra L. Roter - Bloomberg
- Publication Details
- Journal of the American Geriatrics Society (JAGS), v 60(1), pp 106-112
- Publisher
- Wiley
- Number of pages
- 7
- Grant note
- K01MH082885 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) K23AG032910 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) K23 AG032910 / NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality federal government through the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA K01MH082885; R24 MH074779; RO1 MH079814; RC1MH090770-01 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) IIRG-07-28686 / Alzheimer's Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University
- Web of Science ID
- WOS:000299044100014
- Scopus ID
- 2-s2.0-84855850728
- Other Identifier
- 991020112082004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology