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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| Vydané v: | Clinics in geriatric medicine Ročník 32; číslo 2; s. 261 |
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| Hlavní autori: | , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
01.05.2016
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| ISSN: | 1879-8853, 1879-8853 |
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| Abstract | 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. |
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| AbstractList | 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. 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.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. |
| Author | Posner, Philip Tinetti, Mary E Blaum, Caroline S Esterson, Jessica Ferris, Rosie |
| Author_xml | – sequence: 1 givenname: Mary E surname: Tinetti fullname: Tinetti, Mary E email: mary.tinetti@yale.edu organization: Section of Geriatrics, Department of Medicine, Yale School of Medicine, 333 Cedar Street, PO Box 208025, New Haven, CT 06520, USA; Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA. Electronic address: mary.tinetti@yale.edu – sequence: 2 givenname: Jessica surname: Esterson fullname: Esterson, Jessica organization: Section of Geriatrics, Department of Medicine, Yale School of Medicine, 333 Cedar Street, PO Box 208025, New Haven, CT 06520, USA – sequence: 3 givenname: Rosie surname: Ferris fullname: Ferris, Rosie organization: Division of Geriatric Medicine and Palliative Care, Department of Medicine, Langone Medical Center, New York University, 462 First Avenue, C&D Building, Room CD612-613, New York, NY 10016, USA; Department of Population Health, Langone Medical Center, New York University, 550 First Avenue, BCD612, New York, NY 10016, USA – sequence: 4 givenname: Philip surname: Posner fullname: Posner, Philip organization: Oak Ridge Institute of Science Education, Oak Ridge Associated Universities, Oak Ridge, TN, USA; National MS Society, National Capitol Chapter – sequence: 5 givenname: Caroline S surname: Blaum fullname: Blaum, Caroline S organization: Division of Geriatric Medicine and Palliative Care, Department of Medicine, Langone Medical Center, New York University, 462 First Avenue, C&D Building, Room CD612-613, New York, NY 10016, USA; Department of Population Health, Langone Medical Center, New York University, 550 First Avenue, BCD612, New York, NY 10016, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27113145$$D View this record in MEDLINE/PubMed |
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| Keywords | Patient priorities Fragmented and burdensome care Patient’s health outcome goals and care preferences Current care planning Patient priority–directed care Multiple chronic conditions |
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| SubjectTerms | 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 |
| Title | Patient Priority-Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions |
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