How do older patients and their GPs evaluate shared decision-making in healthcareReport as inadecuate




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BMC Geriatrics

, 8:9

First Online: 01 May 2008Received: 20 July 2007Accepted: 01 May 2008

Abstract

BackgroundOlder persons represent a growing share of the population, yet very little is known about their specific healthcare needs, problems, and expectations. IMPROVE is an international research project that seeks to improve elderly persons- involvement in their healthcare. This paper analyzes perceptions of patient involvement by elderly patients and their GPs in family medicine in Slovenia.

MethodsSemi-structured interviews with patients over 70 and their GPs were audio-taped and transcribed. The interviews were analyzed using qualitative content analysis.

ResultsSpecific characteristics of old age must be taken into account in the involvement of older patients. It is important to know the patient-s expectations and to communicate clearly with the patient. A trusting relationship between the GP and the patient is a prerequisite for involvement. GPs center involvement on the GP-s side. Involvement of the elderly is linked to ethical dilemmas.

ConclusionUnderstanding the involvement of the elderly focuses more on building a relationship than on making decisions. It is reasonable to educate GPs and GPs- coworkers about caring relationships. Ethical aspects have often been treated in a theoretical manner, whereas empirical practice may be entirely different from theoretical premises. GPs and older patients must learn more about how to address their ethical dilemmas.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2318-8-9 contains supplementary material, which is available to authorized users.

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Author: Danica Rotar-Pavlič - Igor Švab - Raymond Wetzels

Source: https://link.springer.com/



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