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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Bibliographic Details
Published in:Clinics in geriatric medicine Vol. 32; no. 2; p. 261
Main Authors: Tinetti, Mary E, Esterson, Jessica, Ferris, Rosie, Posner, Philip, Blaum, Caroline S
Format: Journal Article
Language:English
Published: United States 01.05.2016
Subjects:
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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Summary: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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ISSN:1879-8853
1879-8853
DOI:10.1016/j.cger.2016.01.012