A recent trend in health care is characterized by increases in patient autonomy and shared medical decision making between patients and their doctors or health care providers. Medical decisions are no longer made solely by physicians, because patients are increasingly encouraged to play an active role in researching their own illnesses and deciding which treatment options they will pursue. This shift in medical decisions from doctor to patient has the potential to affect the health care of older adults negatively. Substantial research in cognitive aging indicates that older adults frequently have more difficulty comprehending and remembering medical information compared with younger adults (e.g., Brown &.
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