Priority Setting in General Practice: Health Priorities of Older Patients Differ from Treatment Priorities of Their Physicians

Voigt, Isabel; Wrede, J.; Diederichs-Egidi, Heike; Dierks, Marie‐Luise; Junius-Walker, Ulrike

doi:10.3325/cmj.2010.51.483

Cited by 45 publications

(66 citation statements)

References 26 publications

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“…Therefore, it is crucial that health professionals and patients determine which health problems to select as health care priorities. The perspectives of both parties will contribute to a shared decision-making process of priority setting to achieve a mutually-agreed treatment plan (17) . However, to the competence 'assess older adults problems with objectivity, aiming at organizing priorities', low agreement on health and treatment priorities between patients and physicians has been observed, necessitating better communication between the two parties to strengthen mutual understanding.…”

Section: For This Reason It Is Important That a Competent Multiprofesmentioning

confidence: 99%

Professional competencies in primary health care for attending to older adults

Witt

Roos²,

Carvalho

et al. 2014

Rev. esc. enferm. USP

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RESUMENObjetivo: Identificar y analizar las competencias profesionales necesarias para la atención de ancianos en cuidados primarios de salud. Método: Estudio exploratorio descriptivo cuali-cuantitativo. Fue utilizada la Técnica Delphi en tres rondas, con la participación de profesionales de la red básica y un grupo multidisciplinario de expertos. El primer cuestionario solicitó que los participantes indicasen competencias necesarias para la atención de ancianos en cuidados primarios. Estas fueron compiladas en un listado que, añadido de una Escala de Likert (de 1 a 5), compuso el segundo y tercer cuestionarios. El criterio de consenso adoptado fue el 70%. Resultados: Veintiocho competencias alcanzaron el consenso, habiéndose clasificado en 12 áreas de dominio. Conclusión: Las competencias reflejan las políticas brasileñas de salud y constituyen una referencia para la práctica y la formación de los profesionales de salud para la atención al añoso en la atención primaria a la salud. DESCRIPTORES ABSTRACTObjective: to identify and analyze the necessary competencies in primary health care for attending to older adults. Methods: An exploratory, descriptive, and quali-quantitative study was developed. Three rounds of the Delphi Technique were conducted with participants from primary health care services and a multidisciplinary committee. The first questionnaire asked participants to indicate the competencies needed for attending to older adults in primary health care. They were compiled into a list and added to a Likert Scale (from 1 to 5) for the second and third questionnaires. A consensus criterion of 70% was adopted. Results: Twenty eight competencies were reached by consensus and were classified into twelve domains. Conclusions: the competencies reflect Brazilian health care policy and constitute a reference for professional health practice and education when caring for the older adult in primary health care.

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Section: For This Reason It Is Important That a Competent Multiprofesmentioning

confidence: 99%

Professional competencies in primary health care for attending to older adults

Witt

Roos²,

Carvalho

et al. 2014

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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“…The question of whether patients also prioritize among their conditions is critical as the association between patients' perceived health priorities and health behavior is well documented (19). However, studies continue to illustrate low patient-clinician agreement on health and treatment priorities (20,21) and a lack of agreement between clinician and patient priorities may impact the clinician-patient relationship, treatment concordance, and potential health outcomes (22,23).…”

Section: Introductionmentioning

confidence: 99%

Patient Priorities in Osteoarthritis and Comorbid Conditions: A Secondary Analysis of Qualitative Data

Cheraghi-Sohi

Bower

Kennedy

et al. 2013

Arthritis Care & Research

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Objective. A lack of agreement between clinician and patient priorities can impact the clinician-patient relationship, treatment concordance, and potential health outcomes. Studies have suggested that patients with osteoarthritis (OA) may prioritize comorbidities over their OA, but as yet no explicit systematic exploration of OA patients' priorities in relation to comorbidities exists. This study aims to explore how patients prioritize their OA among their conditions, which factors underlie this prioritization, and whether and why these priorities change over time.

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“…These individuals face challenges when the symptoms or treatment of one condition has an adverse impact on the self-care of another condition [3]. Making matters worse, individuals with MCC often disagree with members of their health care team on priorities for self-care and health outcomes [16,31,36], which leads to lower patient satisfaction and poorer health outcomes [29].…”

Section: Introductionmentioning

confidence: 99%

Creating Conditions for Patients' Values to Emerge in Clinical Conversations

Berry

Lim

Hartzler

et al. 2017

Proceedings of the 2017 Conference on Designing Interactive Systems

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Eliciting, understanding, and honoring patients' values-the things most important to them in daily life-is a cornerstone of patient-centered care. However, this rarely occurs explicitly as a routine part of clinical practice. This is particularly problematic for individuals with multiple chronic conditions (MCC) because they face difficult choices about how to balance competing demands for self-care in accordance with their values. In this study, we sought to inform the design of interventions to support conversations about patient values between patients with MCC and their health care providers. We conducted a field study that included observations of 21 clinic visits for patients who have MCC, and interviews with 16 care team members involved in those visits. This paper contributes a practice-based account of ways in which providers engage with patient values, and discusses how future work in interactive systems design might extend and enrich these engagements.

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Priority Setting in General Practice: Health Priorities of Older Patients Differ from Treatment Priorities of Their Physicians

Abstract: The low agreement on health and treatment priorities between patients and physicians necessitates better communication between the two parties to strengthen mutual understanding.

Cited by 45 publications

References 26 publications

Professional competencies in primary health care for attending to older adults

Professional competencies in primary health care for attending to older adults

Patient Priorities in Osteoarthritis and Comorbid Conditions: A Secondary Analysis of Qualitative Data

Creating Conditions for Patients' Values to Emerge in Clinical Conversations

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