Group Medical Visits in Primary Care for Patients with Diabetes and Low Socioeconomic Status: Users' Perspectives and Lessons for Practitioners

2014 ◽  
Vol 38 (3) ◽  
pp. 198-204 ◽  
Author(s):  
Carmen Thompson ◽  
Ingrid Meeuwisse ◽  
Rita Dahlke ◽  
Neil Drummond
Keyword(s):  
Primary Care ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Group Medical Visits ◽  
Medical Visits ◽  
Patients With Diabetes

scholarly journals “You Have to Be Part of the Process”: A Qualitative Analysis of Older African American Men’s Primary Care Communication and Participation

2019 ◽  
Vol 13 (4) ◽  
pp. 155798831986156 ◽  
Author(s):  
Jamie Mitchell ◽  
Ed-Dee G. Williams ◽  
Ramona Perry ◽  
Kavitha Lobo
Keyword(s):  
Primary Care ◽  
Socioeconomic Status ◽  
African American ◽  
Low Socioeconomic Status ◽  
Information Exchange ◽  
African American Men ◽  
Health Providers ◽  
Patient Centered ◽  
Low Socioeconomic ◽  
Medical Visits

The objective of the current study was to understand older African American men’s perceptions of and experiences with patient–provider communication during primary care medical visits. Fifteen African American men age 50 and older participated in individual semistructured interviews. Open-ended questions focused on their primary care therapeutic alliance, preferences for decision-making, self-efficacy, patient satisfaction, communication, and companion participation during primary care medical visits. Emergent themes included the perception of rushed and inattentive care related to low socioeconomic status, inadequate information exchange about medical testing and follow-up care, welcoming the help of highly engaged companions, and proactively preparing for medical visits. Participants’ assertiveness, confidence, and persistence with health providers regarding agenda setting for their care were most prevalent and contradict extant literature portraying African American men as less engaged or informed patients. Older African American men, particularly those with low socioeconomic status, may benefit from additional support and advocacy to consistently receive patient centered care and communication.

Do Patients with Diabetes and Low Socioeconomic Status Receive Less Care and Have Worse Outcomes? A National Study

2006 ◽  
Vol 119 (8) ◽  
pp. 665-669 ◽  
Author(s):  
Alan B. Jotkowitz ◽  
Gad Rabinowitz ◽  
Anat Raskin Segal ◽  
Ron Weitzman ◽  
Leon Epstein ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
National Study ◽  
Low Socioeconomic ◽  
Patients With Diabetes

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

Tomorrow never knows: Paradoxical effects of a future prime on performance among low socioeconomic status college students

2014 ◽  
Author(s):  
Sarah Dayle Herrmann ◽  
Jessica Bodford ◽  
Robert Adelman ◽  
Oliver Graudejus ◽  
Morris Okun ◽  
...  
Keyword(s):  
College Students ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Paradoxical Effects
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