Older Adult and Family Caregiver Perspectives on Engagement in Primary Care

Author:

Hirschman Karen B.,Rivera Eleanor,Sefcik Justine S.,McCauley Kathleen,Hanlon Alexandra L.,Pauly Mark V.,Press Matthew J.,Naylor Mary D.

Abstract

The purpose of the current in-depth qualitative study was to explore the experiences of older adults and family caregivers in primary care. Twenty patients and caregivers from six Comprehensive Primary Care Plus (CPC+) practices' Patient and Family Advisory Councils within a large academic health system participated in telephone interviews from December 2018 to May 2019. Participants were mostly women (60%), with an average age of 71 years and nine chronic conditions. Transcripts were coded using conventional content analysis. Two key themes emerged related to person-centered care (PCC): Engagement in Health Care and Patient–Provider Relationship . Engagement in health care was defined by participants as: being proactive, centering on patient goals in treatment discussions, adherence, and self-triaging. Approximately all participants discussed the importance of the relationship and interactions with their provider as influencing their engagement. The identified themes offer recommendations for further improvement of primary PCC. [ Journal of Gerontological Nursing, 48 (11), 7–13.]

Publisher

SLACK, Inc.

Subject

Gerontology,General Nursing

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