Challenges and strategies in patients' health priorities-aligned decision-making for older adults with multiple chronic conditions.

ABSTRACT:

Objectives

While patients' health priorities should inform healthcare, strategies for doing so are lacking for patients with multiple conditions. We describe challenges to, and strategies that support, patients' priorities-aligned decision-making.

Design

Participant observation qualitative study.

Setting

Primary care and cardiology practices in Connecticut.

Participants

Ten primary care clinicians, five cardiologists, and the Patient Priorities implementation team (four geriatricians, physician expert in clinician training, behavioral medicine expert). The patients discussed were ≥ 66 years with >3 chronic conditions and ≥10 medications or saw ≥ two specialists.

Exposure

Following initial training and experience in providing Patient Priorities Care, the

SUBMITTER: Tinetti M 

PROVIDER: S-EPMC6557523 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature