Interventions for improving older patients' involvement in primary care episodes

Wetzels, Raymond; Harmsen, Mirjam; Weel, Chris van; Grol, Richard; Wensing, Michel

doi:10.1002/14651858.cd004273.pub2

Cited by 69 publications

(68 citation statements)

References 99 publications

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“…To provide input and stimulate participation and finally for the elderly to influence decisions, further efforts are needed. A review of interventions for improving older patients' involvement show that face-toface coaching sessions combined with written materials may be one-way forward (Wetzels et al 2008).…”

Section: Discussionmentioning

confidence: 99%

A review of the literature on patient participation in transitions of the elderly

et al. 2014

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Patient participation is highlighted in healthcare policy documents as an important area to address in order to improve and secure healthcare quality. The literature on healthcare quality and safety furthermore reveals that transitional care carries a risk of adverse events. Elderly persons with co-morbidities are in need of treatment and healthcare from several care professionals and are transferred between different care levels. Patient-centered care, shared decision-making and user involvement are concepts of care that incorporate patient participation and the patients' experiences with care. Even though these care concepts are highlighted in healthcare policy documents, limited knowledge exists about their use in transitions, and therefore points to a need for a review of the existing literature. The purpose of the paper is to give an overview of studies including patient participation as applied in transitional care of the elderly. The methodology used is a literature review searching electronic databases. Results show that participation from elderly in discharge planning and decision-making was low, although patients wanted to participate. Some tools were successfully implemented, but several did not stimulate patient participation. The paper has documented that improvements in quality of transitional care of elderly is called for, but has not been well explored in the research literature and a need for future research is revealed. Clinical practice should take into consideration implementing tools to support patient participation to improve the quality of transitional care of the elderly.

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Section: Discussionmentioning

confidence: 99%

A review of the literature on patient participation in transitions of the elderly

et al. 2014

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“…Beyond these severe potential side effects, the present results have suggested for the first time that these drugs may also be associated with impaired functioning in the elderly psychiatric inpatients. Improving or maintaining autonomy is a crucial goal for the care of psychiatric elderly patients (Wetzels et al 2007;Huss et al 2008;Blankevoort et al 2010;Auais et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Potentially inappropriate psychotropic prescription at discharge is associated with lower functioning in the elderly psychiatric inpatients. A cross-sectional study

et al. 2016

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In the current increasingly fragmented health care systems, special attention must be given to PIP prescription in older population suffering from psychiatric disorders. Using the Beers criteria, the present study demonstrates the high prevalence of PIP prescription, which concerns a large panel of drugs but mostly anxiolytics and hypnotics independently of psychiatric or somatic diagnoses and sociodemographic characteristics. Our study has demonstrated for the first time an association between PIP prescription and lowered patient functioning. Further longitudinal studies should confirm a potential causal relation.

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“…There are few studies that explore shared decision making with older patients in depth. 39 This study also contributes to the literature on identifying older patients' unmet healthcare needs 17 by highlighting factors that may facilitate this process, through shared decision making within a trusting GP-patient relationship.…”

Section: Strengths and Limitationsmentioning

confidence: 92%

Older patients and their GPs: shared decision making in enhancing trust

Butterworth

Campbell

2014

Br J Gen Pract

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BackgroundOlder patients differ from younger patients in their perceptions of trust in doctors; their sense of shared decision making is particularly associated with their trust in the GP. Enhancing trust and improving shared decision making are thought to have positive health outcomes. Older patients are sometimes reported as being less frequently involved in decisions about their health care, however, and in having more unmet healthcare needs than younger patients. AimThis study explored older patients' trust in their GPs and their perceptions of shared decision making. Design and settingQualitative methods were used. Systematic sampling identified 20 participants, aged ≥65 years, from three GP surgeries in Devon, UK.

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Interventions for improving older patients' involvement in primary care episodes

Cited by 69 publications

References 99 publications

A review of the literature on patient participation in transitions of the elderly

A review of the literature on patient participation in transitions of the elderly

Potentially inappropriate psychotropic prescription at discharge is associated with lower functioning in the elderly psychiatric inpatients. A cross-sectional study

Older patients and their GPs: shared decision making in enhancing trust

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