The Older Adult's Experience of Treatment and Communication with Primary Care Physicians in the Medical Encounter
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Authors
Jacobson, Kristin K.
Issue Date
2012
Type
Dissertation
Language
en
Keywords
"geropsychology","qualitative research","geriatrics",''physicians","communication","healthcare delivery"
Alternative Title
Abstract
The objective of this study was to collect infonnation regarding older adults' experiences of communicating with their primary care physician (PCP) in the medical encounter. This was a qualitative study that included a thorough literature review and in-depth individual interviews. A total of 13 adults who had received services from a primary care physician after turning 75 were interviewed. The data were analyzed using conventional content analysis. The participants' responses fell into 11 categories, with the following being salient to most participants: physicians' traits and communication styles, physicians' behaviors and decision-making, and physicians' accessibility and promptness. Data suggested that older adults value warm, personable, and straightforward interaction styles. They also appreciate promptness, explanations for delays, and feeling that their physicians are accessible. This information applies to professionals across many disciplines (e.g., medicine, psychology, nursing, etc.) as comorbid medical and psychiatric issues often complicate the clinical picture in older patients. Additional qualitative studies are needed to evaluate the current standards for communicating effectively with older patients in both medical and psychiatric settings. Future research could lead to enhancements in education, training, and provision of effective services for older adults.