Older patient satisfaction with communication during an initial medical encounter

Greene, Michele G.; Adelman, Ronald D.; Friedmann, Erika; Charon, Rita

doi:10.1016/0277-9536(94)90191-0

Cited by 139 publications

(92 citation statements)

References 47 publications

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“…However, almost half had some prior experience of CAM, with some having used CAM for the first time more than 50 years previously. This long-term use has been reported elsewhere (Andrews, 2002) suggesting that many older people are familiar with actively engaging in their healthcare in contrast to perceptions of older people as passive and uncritical (Greene, Adelman, Friedman, & Charon, 1994). Interestingly, despite the relatively recent upsurgence in the popularity of CAM, pathways to care in previous eras were broadly similar, namely recommendation and lack of success using conventional means.…”

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confidence: 65%

‘Getting on with life’: The experiences of older people using complementary health care

Cartwright¹

2012

Traditional, Complementary and Integrative Medicine

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Surprisingly few studies have explored the use of complementary medicine amongst older persons and existent research is typically restricted to those who can afford private treatment. The aim of the current qualitative study was therefore to explore the experiences of older people using subsidised complementary health care.Semi-structured interviews were conducted with 17 regular attendees of a single centre offering low cost complementary health care to the over 60's. The sample was randomly drawn from the patient register and included patients from mixed social and ethnic backgrounds. Transcripts was analysed using Interpretative Phenomenological Analysis (IPA). The core theme underlying participants' accounts related to the desire to 'get on with life' and maintain physical and social functioning within the constraints imposed by chronic conditions. Consequently, the physiological effects of treatment were highly valued, particularly reductions in pain and improved mobility.Psychological effects operated at a more subtle level, influencing perceptions of health and well-being. The empowering nature of treatment enabled participants to regain a sense of control over their health, which reduced anxiety and facilitated 'normal' functioning. The whole package care was perceived as an important source of support and reassurance in contrast to the impersonal experiences of orthodox medicine. Complementary health care was therefore perceived as an important adjunct to orthodox medicine, particularly in terms of its impact on everyday functioning and well-being. Implications for the quality of life of older people with complex health needs and limited access to private complementary health care are discussed.

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confidence: 65%

‘Getting on with life’: The experiences of older people using complementary health care

Cartwright¹

2012

Traditional, Complementary and Integrative Medicine

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“…283 With regard to consultation time, longer consultations were associated with higher satisfaction in eight studies. 169,224,272,273,279,[284][285][286] Two American studies showed no association, 282,287 but average consultation times in the USA are longer than in the UK.…”

Section: 273mentioning

confidence: 99%

“…203,285 However, physician listening, undertaking a physical examination, and explaining patients' problems were noted to be positively related to satisfaction. 203,279,281,284,295 Expressions of physician control, including dominating the conversation, reduced reported levels of satisfaction. 234,282 A directing style has been found to be more satisfactory for patients with physical problems, 169 but in general partnership arrangements were preferred.…”

Section: 273mentioning

confidence: 99%

The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature

Crow

Gage

Hampson

et al. 2002

Health Technol Assess

907

1,020

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTAThe measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.Although the National Coordinating Centre for Health Technology Assessment (NCCHTA) commissions research on behalf of the Methodology Programme, it is the Methodology Group that now considers and advises the Methodology Programme Director ...

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“…[1][2][3][4][5][6][7][8][9][10] Moreover, patients and physicians frequently disagree with regard to what the patients' needs and perceptions of their illness are. 11 Several studies regarding patient decision-making preferences have been conducted, 5,8 -14 but to our knowledge only limited research has assessed physicians' perceptions of patients' decision-making preferences.…”

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confidence: 99%

Treatment decisions for breast carcinoma

Bruera

Willey

Palmer

et al. 2002

Cancer

231

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BACKGROUNDPatient autonomy and participation in treatment decision making have been encouraged in recent years. However, patients and physicians frequently disagree with regard to the patient's needs and perceptions of their illness. To the authors' knowledge to date only limited research has assessed physicians' perceptions of patients' decision‐making preferences. The purpose of the current prospective study was to determine the agreement between patient decision‐making preferences and physician perceptions of those preferences.METHODSWomen with breast carcinoma who were attending their first outpatient consultation with a breast medical oncologist in a university cancer center were enrolled in the current study. At the end of the consultation, the patients were given a survey regarding their treatment decision‐making preferences that included active, shared, and passive roles in decision‐making and the patients' attending physicians also were given a survey regarding their perceptions of the patients' decision‐making preferences.RESULTSFifty‐seven patients had complete data and were analyzed. Approximately 89% of these 57 patients preferred either an active or a shared role in decision making. The agreement between patients and physicians with regard to decision‐making preference only occurred in 24 cases (42%). The majority of covariates such as age, education, and income were not found to be statistically significant with regard to patient preferences or to the proportion of patients and physicians who agreed on the patient's preferences.CONCLUSIONSWomen with breast carcinoma appear to have a strong desire for involvement in making decisions regarding their treatment. However, physicians do not appear to be consistently able to predict the decision‐making preferences of their patients. Enhanced agreement between patient preferences and physician expectations mostly likely will improve communication and patient satisfaction with the treatment decision‐making process. Cancer 2002;94:2076–80. © 2002 American Cancer Society.DOI 10.1002/cncr.10393

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Older patient satisfaction with communication during an initial medical encounter

Cited by 139 publications

References 47 publications

‘Getting on with life’: The experiences of older people using complementary health care

‘Getting on with life’: The experiences of older people using complementary health care

The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature

Treatment decisions for breast carcinoma

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