Patient Priority-Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions

Older adults with multiple conditions receive care that is often fragmented, burdensome, and of unclear benefit. An advisory group of patients, caregivers, clinicians, health system engineers, health care system leaders, payers, and others identified three modifiable contributors to this fragmented,...

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Vydáno v:	Clinics in geriatric medicine Ročník 32; číslo 2; s. 261
Hlavní autoři:	Tinetti, Mary E, Esterson, Jessica, Ferris, Rosie, Posner, Philip, Blaum, Caroline S
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.05.2016
Témata:	Aged Clinical Decision-Making - ethics Clinical Decision-Making - methods Decision Making - ethics Humans Multiple Chronic Conditions - psychology Multiple Chronic Conditions - therapy Patient Care Planning Patient Comfort - methods Patient Comfort - organization & administration Patient Preference Terminal Care - ethics Terminal Care - methods Terminal Care - psychology Patient priorities Fragmented and burdensome care Patient’s health outcome goals and care preferences Current care planning Patient priority–directed care Multiple chronic conditions
ISSN:	1879-8853, 1879-8853
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Popis
Shrnutí:	Older adults with multiple conditions receive care that is often fragmented, burdensome, and of unclear benefit. An advisory group of patients, caregivers, clinicians, health system engineers, health care system leaders, payers, and others identified three modifiable contributors to this fragmented, burdensome care: decision making and care focused on diseases, not patients; inadequate delineation of roles and responsibilities and accountability among clinicians; and lack of attention to what matters to patients and caregivers (ie, their health outcome goals and care preferences). The advisory group identified patient priority-directed care as a feasible, sustainable approach to addressing these modifiable factors.
Bibliografie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1879-8853 1879-8853
DOI:	10.1016/j.cger.2016.01.012