Patients’ perceptions of visit companions’ helpfulness during Japanese geriatric medical visits

Ishikawa, Hirono; Roter, Debra; Yamazaki, Yoshihiko; Hashimoto, Hideki; Yano, Eiji

doi:10.1016/j.pec.2005.02.010

Cited by 39 publications

(63 citation statements)

References 18 publications

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“…Therefore, we formulated a hypothesis for inclusion in the model stating that the lower the ADL level, the less frequent the occurrence of DPC without family (Schilling et al 2002;Ishikawa et al 2005Ishikawa et al , 2006Wolff and Roter 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Second, the lower the patient's ADL level, the more frequently DPC without family tended to occur. This is because the patients were more frequently chaperoned by the family if the patient's ADL level was low, and this differed from the outpatient setting, in which the occurrence of DPC without family is lower (Schilling et al 2002;Ishikawa et al 2005Ishikawa et al , 2006Wolff and Roter 2008). In home medical care settings in which triadic communication among the patient, family, and doctor is common, i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Information on basic patient characteristics was collected from the medical records, while information on patient background, family background, the caregiving situation, and DPC without family was extracted from the questionnaires. Inclusion of the above questions and survey items was determined based on the hypotheses formulated through discussions among the authors about the results of our previous qualitative studies in patients' families on the topic of communication methods in home medical care settings and other researchers' precursor studies (Schilling et al 2002;Ishikawa et al 2005Ishikawa et al , 2006Wolff and Roter 2008;Kimura et al 2009Kimura et al , 2013a. The questionnaire was pretested by three families in the presence of us by filing it in, to check whether or not some incomprehensible questions are included in it.…”

Section: Questionnaires and Other Data Sourcementioning

confidence: 99%

“…In home medical care settings, the family is usually present during the doctor's examination of the patient (Kimura et al 2013b). This differs from outpatient settings, in which the elderly patient is accompanied by the family only when needed (Schilling et al 2002;Ishikawa et al 2005Ishikawa et al , 2006Tanaka 2008;Wolff and Roter 2008). It also differs from inpatient bedside settings, in which the family is not present in principle (Tanaka 2008).…”

Section: Introductionmentioning

confidence: 99%

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Doctor-Patient Communication without Family Is Most Frequently Practiced in Patients with Malignant Tumors in Home Medical Care Settings

Kimura

Imanaga

Matsuzaki

2014

Tohoku J. Exp. Med.

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Promotion of home medical care is absolutely necessary in Japan where is a rapidly aging society. In home medical care settings, triadic communications among the doctor, patient and the family are common. And "communications just between the doctor and the patient without the family" (doctor-patient communication without family, "DPC without family") is considered important for the patient to frankly communicate with the doctor without consideration for the family. However, the circumstances associated with DPC without family are unclear. Therefore, to identify the factors of the occurrence of DPC without family, we conducted a cross-sectional mail-in survey targeting 271 families of Japanese patients who had previously received home medical care. Among 227 respondents (83.8%), we eventually analyzed data from 143, excluding families of patients with severe hearing or cognitive impairment and severe verbal communication dysfunction. DPC without family occurred in 26.6% (n = 38) of the families analyzed. A multivariable logistic regression analysis was performed using a model including Primary disease, Daily activity, Duration of home medical care, Interval between doctor visits, Duration of doctor's stay, Existence of another room, and Spouse as primary caregiver. As a result, DPC without family was significantly associated with malignant tumor as primary disease (OR, 3.165; 95% CI, 1.180-8.486; P = 0.022). In conclusion, the visiting doctors should bear in mind that the background factor of the occurrence of DPC without family is patient's malignant tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Questionnaires and Other Data Sourcementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Doctor-Patient Communication without Family Is Most Frequently Practiced in Patients with Malignant Tumors in Home Medical Care Settings

Kimura

Imanaga

Matsuzaki

2014

Tohoku J. Exp. Med.

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show abstract

“…Además, el cuidado de la familia puede ser un «valor añadido» del MdF 5,31 . Por otra parte, los acompañantes no siempre proporcionan información congruente con los puntos de vista del paciente; la discrepancia entre expectativas de paciente y acompañantes durante la consulta predice la valoración de la utilidad por parte del paciente 33 . Otros problemas de la presencia del acompañante son la falta de confidencialidad, triangulación, falta de exploración de la agenda del paciente, y consultas más rápidas 12 (tabla 2).…”

Section: Duración De Las Visitas Con Acompañanteunclassified