Physician discussion about social activities in primary care encounters with older adults.
Physician discussion about social activities in primary care encounters with older adults.
复制标题
医生与老年人讨论初级保健中的社交活动。
DOI：
10.1097/smj.0b013e31817a8b6a
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发表时间：
2008
影响因子：
1.1
通讯作者：
Bramson,Rachel
中科院分区：
文献类型：
--
作者：
Ory,Marcia;Yuma,PaulaJ;Wade,Angie;Kaunas,Christine;Bramson,Rachel
目的：参与社会活动与积极的健康结果有关。本研究的重点是在初级保健医疗遇到的社会活动讨论的患病率，并检查如何与医生和老年patients.Methods之间的讨论患者，医生和上下文因素：研究是一个次要的分析434录像带记录在初级保健医疗访问1998年和2000年之间的门诊。记录进行编码，以确定一些变量相关的病人，医生，和同伴的特点，医生讨论的各种主题，和质量的医生与patient.Results的互动：医生讨论的社会活动，只有31%的医疗遭遇。与社会活动讨论显着相关的变量包括患者和医生的种族/民族，医生的年龄组，医生的忠诚度，和地理位置的visit.Conclusion：结果支持列入讨论和咨询社会活动的医疗遇到老年患者。家庭医生可能会提高患者的满意度，老年患者可能会获得改善生活质量和医疗结果的健康益处。需要更多的研究来更充分地了解医疗过程中社会活动讨论的相关性和益处。
Objective: Involvement in social activities is linked to positive health outcomes. This study focused on the prevalence of social activity discussions during the primary care medical encounter, and examined how patient, physician, and contextual factors were associated with discussions between physicians and older patients.Methods: The research was a secondary analysis of 434 videotapes recorded during primary care medical visits between 1998 and 2000 in outpatient clinics. Recordings were coded to identify a number of variables related to patient, physician, and companion characteristics, physician discussion on various topics, and quality of the physician’s interaction with the patient.Results: Physicians discussed social activity in only 31% of medical encounters. Variables significantly associated with social activity discussions included patient and physician race/ethnicity, physician age group, physician supportiveness, and the geographical site of the visit.Conclusion: Results support the inclusion of discussion and counseling about social activities in medical encounters with older patients. Family physicians will likely experience improved patient satisfaction, and geriatric patients can potentially reap health benefits that improve both quality of life and medical outcomes. Additional research is needed to understand more fully the correlates and benefits of social activity discussion during the medical encounter.