scholarly journals The effect of discussions about advance directives on patients’ satisfaction with primary care

2001 ◽  
Vol 16 (1) ◽  
pp. 32-40 ◽  
Author(s):  
William M. Tierney ◽  
Paul R. Dexter ◽  
Gregory P. Gramelspacher ◽  
Anthony J. Perkins ◽  
Xiao-Hua Zhou ◽  
...  
Keyword(s):  
Primary Care ◽  
Advance Directives ◽  
Patients Satisfaction

scholarly journals The Effect of Discussions About Advance Directives on Patients' Satisfaction with Primary Care

2001 ◽  
Vol 16 (1) ◽  
pp. 32-40 ◽  
Author(s):  
William M. Tierney ◽  
Paul R. Dexter ◽  
Gregory P. Gramelspacher ◽  
Anthony J. Perkins ◽  
Xiao-Hua Zhou ◽  
...  
Keyword(s):  
Primary Care ◽  
Advance Directives ◽  
Patients Satisfaction

Patients’ satisfaction after a geriatric assessment into primary care: data from FAP study

2018 ◽  
Vol 16 (4) ◽  
pp. 391-397
Author(s):  
Maxime Renoux ◽  
Bruno Chicoulaa ◽  
Christine Lagourdette ◽  
Emile Escourrou ◽  
Marion Secher ◽  
...  
Keyword(s):  
Primary Care ◽  
Geriatric Assessment ◽  
Patients Satisfaction ◽  
Primary Care Data

scholarly journals Practices and perspectives of primary care physicians in Japan and the United States about diagnosing dementia: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Abe ◽  
S. Tsunawaki ◽  
M. Dejonckheere ◽  
C. T. Cigolle ◽  
K. Phillips ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Intervention ◽  
Advance Directives ◽  
Primary Care Physicians ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
The Us ◽  
Diagnosis Of Dementia

Abstract Background While dementia is a common problem in Japan and the US, primary care physicians' practices and perspectives about diagnosing dementia in these different healthcare systems are unknown. Methods Qualitative research was conducted in an ethnographic tradition using semi-structured interviews and thematic analysis in primary care settings across Japan and in the Midwest State of Michigan, US. Participants were a total of 48 primary care physicians, 24 each from Japan and the US participated. Both groups contained a mixture of geographic areas (rural/urban), gender, age, and years of experience as primary care physicians. Results Participants in Japan and the US voiced similar practices for making the diagnosis of dementia and held similar views about the desired benefits of diagnosing dementia. Differences were found in attitudes about the appropriate timing of formally diagnosing dementia. Japanese physicians tended to make a formal diagnosis when problems that would benefit from long-term care services emerged for family members. US physicians were more proactive in diagnosing dementia in the early stages by screening for dementia in health check-ups and promoting advance directives when the patients were still capable of decision-making. Views about appropriate timing of diagnostic testing for dementia in the two systems reflect what medical or nursing care services physicians can use to support dementia patients and caregivers. Conclusions Benefits of making the diagnosis included the need to activate the long-term care services in Japan and for early intervention and authoring advance directives in the US. Testing to establish an early diagnosis of dementia by primary care physicians only partly relates to testing and treatment options available. Benefits of making the diagnosis included the need to activate the long-term care services in Japan and for early intervention and authoring advance directives in the US.

scholarly journals PS1-20: Understanding Patient Barriers and Preferences to Completing Advance Directives (AD) in the Primary Care Setting

2014 ◽  
Vol 12 (1-2) ◽  
pp. 91-91
Author(s):  
J. B. Jones ◽  
J. Tomcavage ◽  
D. Fisher ◽  
R. Van Loan ◽  
V. Lerch ◽  
...  
Keyword(s):  
Primary Care ◽  
Advance Directives ◽  
Care Setting ◽  
Primary Care Setting ◽  
Patient Barriers

Advance Directives in Primary Care

1998 ◽  
Vol 98 (4) ◽  
pp. 16CCC ◽  
Author(s):  
Patricia Duffield
Keyword(s):  
Primary Care ◽  
Advance Directives

Willingness of cancer patients to discuss advance directives with admitting doctor or oncologists

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. 9539-9539
Author(s):  
L. A. Dow ◽  
T. J. Smith ◽  
R. Matsuyama ◽  
E. B. Lamont ◽  
V. Ramakrishnan ◽  
...  
Keyword(s):  
Primary Care ◽  
Cancer Patients ◽  
Advance Directives ◽  
Primary Care Doctor ◽  
Structured Interviews ◽  
Common Misconception ◽  
Primary Care Doctors ◽  
Aggressive Care ◽  
Hospice Palliative Care ◽  
Seriously Ill

9539 Background: Many seriously ill cancer patients do not discuss prognosis or advance directives (ADs), which may lead to aggressive care at end of life (Harrison & Smith, JAMA 2008). Ten years ago, cancer patients did not want to discuss ADs with their oncologist (ONC), but would discuss them with an admitting doctor (Lamont JPM 2000).We assessed if this still held. Methods: We administered semi-structured interviews to cancer inpatients on the VCUHS Hematology-Oncology service. 55/63 consecutive patients accrued. Information was collected regarding ADs and knowledge of hospice/palliative care. Results: Of those enrolled, 22/55 (40%) reported having ADs. Only 2/55 had discussed ADs with their oncologist. Only 12/55 (22%) would want to discuss ADs with their ONC. But when specifically asked, 22/55 (40%) of patients would prefer to discuss ADs with their oncologist, and 40% with their primary care doctor. 86% would discuss ADs with the admitting doctor. There was no difference in doctor preference based upon prior AD completion. The preference not to discuss ADs with the oncologist was often because they felt their family could make the decisions, or that it was only necessary “If it got serious.” There was a common misconception that ADs mean death is imminent and lead to termination of care. Conclusions: Most patients (86%) are willing to discuss ADs with an admitting doctor, but only a small number (22%) want to discuss with their ONC. However, most patients will discuss ADs and 40% actually prefer their ONC if ADs are discussed. We therefore need to train primary care doctors, house staff, hospitalists, and oncologists to have these difficult discussions. [Table: see text] No significant financial relationships to disclose.

scholarly journals Perspectives and Approaches of Primary Care Physicians on Diagnosing Dementia– a Qualitative Japan – United States Comparison Study

2021 ◽  
Author(s):  
Michiko Abe ◽  
Shinji Tsunawaki ◽  
Melissa DeJonckheere ◽  
Christine T. Cigolle ◽  
Kristin Phillips ◽  
...  
Keyword(s):  
Primary Care ◽  
Advance Directives ◽  
Primary Care Physicians ◽  
Long Term Care ◽  
Qualitative Comparison ◽  
Term Care ◽  
Care Services ◽  
The Us ◽  
Diagnosis Of Dementia

Abstract Background: To explore the perspectives and approaches of primary care physicians in Japan and the US on diagnosing dementia.Methods: Qualitative comparison conducted in ethnographic tradition using semi-structured interviews and thematic analysis. Primary care settings across Japan and in the Midwest State of Michigan, US. Participants were a total of 48 primary care physicians, 24 each from Japan and the US participated. Both groups contained a mixture of the practice area (rural/urban), gender, age, and years of experience as a primary care physician. Results: Participants in Japan and the US voiced similar approaches for making the diagnosis of dementia and held similar views about the desire benefits of diagnosing dementia. Differences were found in attitudes about the appropriate timing of formally diagnosing dementia. Japanese physicians tended to make a formal diagnosis when problems that would benefit from long-term care services emerged for family members. US physicians were more proactive in diagnosing dementia in the early stages by screening for dementia in health check-ups and promoting advance directives when the patients were still capable of decision-making. Views about appropriate timing of diagnostic testing for dementia in the two systems reflect what medical or nursing care services physicians can use to support dementia patients and caregivers.Conclusions: Testing to establish an early diagnosis of dementia by primary care physicians only partly relates to testing options available. Benefits of making the diagnosis included the need to activate the long-term care services in Japan and for early intervention and authoring advance directives in the US.

Sign in / Sign up

Export Citation Format

Share Document