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Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?

PURPOSE: The purpose of this article was to examine the relative importance of patients’ self-advocacy and perceived physicians’ advocacy for impacting patients’ satisfaction in terms of physician communication and physician–patient relationship. We also examine the influence of physicians’ emotiona...

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Autores principales: Kahana, Boaz, Yu, Jiao, Kahana, Eva, Langendoerfer, Kaitlyn Barnes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025777/
https://www.ncbi.nlm.nih.gov/pubmed/29983551
http://dx.doi.org/10.2147/CIA.S165086
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author Kahana, Boaz
Yu, Jiao
Kahana, Eva
Langendoerfer, Kaitlyn Barnes
author_facet Kahana, Boaz
Yu, Jiao
Kahana, Eva
Langendoerfer, Kaitlyn Barnes
author_sort Kahana, Boaz
collection PubMed
description PURPOSE: The purpose of this article was to examine the relative importance of patients’ self-advocacy and perceived physicians’ advocacy for impacting patients’ satisfaction in terms of physician communication and physician–patient relationship. We also examine the influence of physicians’ emotional support and patients’ demographic as well as health characteristics on patients’ satisfaction. SAMPLE: Our sample includes interviews with 806 community dwelling older adults (mean age =77.82 years, SD=8.41). The sample included residents of a large retirement community in Clearwater, FL, USA. Respondents were also included from representative samples of older adults living in Orlando and Miami, FL, USA, and Cleveland, OH, USA. METHODS AND RESULTS: Using multiple hierarchical regression analyses, we found that patients’ age and functional limitations were negatively associated with their care satisfaction. When compared with White patients, African-American patients were less satisfied with their physicians while Latino patients expressed greater satisfaction with their medical care. We found limited evidence of patients’ self-advocacy and such advocacy did not serve as a significant predictor of satisfaction with physicians. In contrast, patients’ perception of physicians’ readiness to act as patient advocates was a significant predictor of patients’ satisfaction. Emotional support of physicians was also associated with patients’ satisfaction. CONCLUSION: These findings raise questions about consumer empowerment among older adults and underscore their desire for and appreciation of physicians’ advocacy. Findings are discussed in the context of power imbalance between elderly patients and their doctors.
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spelling pubmed-60257772018-07-06 Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication? Kahana, Boaz Yu, Jiao Kahana, Eva Langendoerfer, Kaitlyn Barnes Clin Interv Aging Original Research PURPOSE: The purpose of this article was to examine the relative importance of patients’ self-advocacy and perceived physicians’ advocacy for impacting patients’ satisfaction in terms of physician communication and physician–patient relationship. We also examine the influence of physicians’ emotional support and patients’ demographic as well as health characteristics on patients’ satisfaction. SAMPLE: Our sample includes interviews with 806 community dwelling older adults (mean age =77.82 years, SD=8.41). The sample included residents of a large retirement community in Clearwater, FL, USA. Respondents were also included from representative samples of older adults living in Orlando and Miami, FL, USA, and Cleveland, OH, USA. METHODS AND RESULTS: Using multiple hierarchical regression analyses, we found that patients’ age and functional limitations were negatively associated with their care satisfaction. When compared with White patients, African-American patients were less satisfied with their physicians while Latino patients expressed greater satisfaction with their medical care. We found limited evidence of patients’ self-advocacy and such advocacy did not serve as a significant predictor of satisfaction with physicians. In contrast, patients’ perception of physicians’ readiness to act as patient advocates was a significant predictor of patients’ satisfaction. Emotional support of physicians was also associated with patients’ satisfaction. CONCLUSION: These findings raise questions about consumer empowerment among older adults and underscore their desire for and appreciation of physicians’ advocacy. Findings are discussed in the context of power imbalance between elderly patients and their doctors. Dove Medical Press 2018-06-25 /pmc/articles/PMC6025777/ /pubmed/29983551 http://dx.doi.org/10.2147/CIA.S165086 Text en © 2018 Kahana et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Kahana, Boaz
Yu, Jiao
Kahana, Eva
Langendoerfer, Kaitlyn Barnes
Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_full Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_fullStr Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_full_unstemmed Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_short Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_sort whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025777/
https://www.ncbi.nlm.nih.gov/pubmed/29983551
http://dx.doi.org/10.2147/CIA.S165086
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