Feasibility of Clinicians Aligning Health Care with Patient Priorities in Geriatrics Ambulatory Care.

Journal of the American Geriatrics Society
Jennifer FreytagAanand D Naik

Abstract

Aligning healthcare decisions with patients' priorities may improve care for older adults with multiple chronic conditions (MCCs). We conducted a pilot study to assess the feasibility of identifying patient priorities in routine geriatrics care and to compare clinicians' recommendations for patients who did or did not have their priorities identified. Retrospective chart review. Veterans Administration Medical Center Geriatrics Clinic. Older adults with MCCs receiving Patient Priorities Care (PPC; n = 35) were matched with patients receiving usual care (UC; n = 35). Both PPC and UC patients were cared for by three primary care providers (PCPs) in an ambulatory geriatric clinic. In the PPC group, a clinician facilitator met with each patient to identify their healthcare priorities and transmitted patients' priorities in the electronic health record (EHR). Trained PCPs then sought to align healthcare decisions with patients' priorities. In the UC group, patients received usual care from the same PCPs. We matched patients by clinician seen, patient's age, number of active conditions, medications, hospitalizations, functional status, and prior hospitalizations. EHRs were reviewed to identify care decisions including medications add...Continue Reading

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Oct 4, 2018·Journal of the American Geriatrics Society·Aanand D NaikMary E Tinetti
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Mar 15, 2019·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Tracy Gaudet, Benjamin Kligler

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Citations

Jan 27, 2021·Journal of Gerontological Nursing·Andrea Yevchak SillnerLiza Behrens
Nov 7, 2021·Journal of the American Geriatrics Society·Jennifer A OuelletAngela G Catic

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