Physician-elder interaction in community family practice

Edward J. Callahan, Kurt C. Stange, Stephen J. Zyzanski, Meredith A. Goodwin, Sue Flocke, Klea D. Bertakis

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To determine whether outpatient visits by elders seeing community family physicians differ in length or content from visits by younger patients; socioemotional preferences predict visit content; and satisfaction correlates with visit content differentially across age. Methods: In a multimethod cross-sectional study of 84 community family practices in northeastern Ohio, 3453 adult patient visits with 138 community family physicians were observed; 2362 of these patients completed self-report questionnaires. Three age groups were compared: 18 to 64, 65 to 74, and over 74 years. Length and content of the physician-patient encounter was determined using the Davis Observation Code (DOC); satisfaction was assessed using the MOS 9-item Visit Rating Scale. Results: Controlling for reason for visit and demographics, visit length averaged 10.7 minutes for each group. Visit content differed significantly on 13 of 20 DOC codes between one of the older groups and the younger group; in 4 instances, content varied between the 2 older groups. Although visit content varied as predicted by socioemotional theory, no consistent patterns of association between visit content and satisfaction emerged. Discussion: Older patient visits differ from those of younger patients as might be predicted by socio-emotional selectivity theory; however, there was little association of visit content with patient satisfaction.

Original languageEnglish (US)
Pages (from-to)19-25
Number of pages7
JournalJournal of the American Board of Family Practice
Volume17
Issue number1
StatePublished - Jan 1 2004
Externally publishedYes

Fingerprint

Family Practice
Physicians
Family Physicians
Observation
Patient Satisfaction
Self Report
Outpatients
Age Groups
Cross-Sectional Studies
Demography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Callahan, E. J., Stange, K. C., Zyzanski, S. J., Goodwin, M. A., Flocke, S., & Bertakis, K. D. (2004). Physician-elder interaction in community family practice. Journal of the American Board of Family Practice, 17(1), 19-25.

Physician-elder interaction in community family practice. / Callahan, Edward J.; Stange, Kurt C.; Zyzanski, Stephen J.; Goodwin, Meredith A.; Flocke, Sue; Bertakis, Klea D.

In: Journal of the American Board of Family Practice, Vol. 17, No. 1, 01.01.2004, p. 19-25.

Research output: Contribution to journalArticle

Callahan, EJ, Stange, KC, Zyzanski, SJ, Goodwin, MA, Flocke, S & Bertakis, KD 2004, 'Physician-elder interaction in community family practice', Journal of the American Board of Family Practice, vol. 17, no. 1, pp. 19-25.
Callahan EJ, Stange KC, Zyzanski SJ, Goodwin MA, Flocke S, Bertakis KD. Physician-elder interaction in community family practice. Journal of the American Board of Family Practice. 2004 Jan 1;17(1):19-25.
Callahan, Edward J. ; Stange, Kurt C. ; Zyzanski, Stephen J. ; Goodwin, Meredith A. ; Flocke, Sue ; Bertakis, Klea D. / Physician-elder interaction in community family practice. In: Journal of the American Board of Family Practice. 2004 ; Vol. 17, No. 1. pp. 19-25.
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