Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?

 Boaz Kahana,1 Jiao Yu,2 Eva Kahana,2 Kaitlyn Barnes Langendoerfer2 1Department of Psychology, Cleveland State University, 2Department of Sociology, Case Western Reserve University, Cleveland, OH, USA Purpose: The purpose of this article was to examine the relative importance of patients&...

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Autores principales:	Kahana B, Yu J, Kahana E, Langendoerfer KB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	physician emotional support patient proactivity patient centered care evaluations of medical care paternalistic model of primary care Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/05b0c777056a4b0083a676030c3e31bd
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spelling	oai:doaj.org-article:05b0c777056a4b0083a676030c3e31bd2021-12-02T01:37:35ZWhose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?1178-1998https://doaj.org/article/05b0c777056a4b0083a676030c3e31bd2018-06-01T00:00:00Zhttps://www.dovepress.com/whose-advocacy-counts-in-shaping-elderly-patients-satisfaction-with-ph-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998 Boaz Kahana,1 Jiao Yu,2 Eva Kahana,2 Kaitlyn Barnes Langendoerfer2 1Department of Psychology, Cleveland State University, 2Department of Sociology, Case Western Reserve University, Cleveland, OH, USA Purpose: The purpose of this article was to examine the relative importance of patients’ self-advocacy and perceived physicians’ advocacy for impacting patients’ satisfaction in terms of physician communication and physician–patient relationship. We also examine the influence of physicians’ emotional support and patients’ demographic as well as health characteristics on patients’ satisfaction. Sample: Our sample includes interviews with 806 community dwelling older adults (mean age =77.82 years, SD=8.41). The sample included residents of a large retirement community in Clearwater, FL, USA. Respondents were also included from representative samples of older adults living in Orlando and Miami, FL, USA, and Cleveland, OH, USA.Methods and results: Using multiple hierarchical regression analyses, we found that patients’ age and functional limitations were negatively associated with their care satisfaction. When compared with White patients, African-American patients were less satisfied with their physicians while Latino patients expressed greater satisfaction with their medical care. We found limited evidence of patients’ self-advocacy and such advocacy did not serve as a significant predictor of satisfaction with physicians. In contrast, patients’ perception of physicians’ readiness to act as patient advocates was a significant predictor of patients’ satisfaction. Emotional support of physicians was also associated with patients’ satisfaction.Conclusion: These findings raise questions about consumer empowerment among older adults and underscore their desire for and appreciation of physicians’ advocacy. Findings are discussed in the context of power imbalance between elderly patients and their doctors.Keywords: physicians’ emotional support, patient proactivity, patient-centered care, evaluations of medical care, paternalistic model of primary careKahana BYu JKahana ELangendoerfer KBDove Medical Pressarticlephysician emotional supportpatient proactivitypatient centered careevaluations of medical carepaternalistic model of primary careGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1161-1168 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	physician emotional support patient proactivity patient centered care evaluations of medical care paternalistic model of primary care Geriatrics RC952-954.6
spellingShingle	physician emotional support patient proactivity patient centered care evaluations of medical care paternalistic model of primary care Geriatrics RC952-954.6 Kahana B Yu J Kahana E Langendoerfer KB Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
description	Boaz Kahana,1 Jiao Yu,2 Eva Kahana,2 Kaitlyn Barnes Langendoerfer2 1Department of Psychology, Cleveland State University, 2Department of Sociology, Case Western Reserve University, Cleveland, OH, USA Purpose: The purpose of this article was to examine the relative importance of patients’ self-advocacy and perceived physicians’ advocacy for impacting patients’ satisfaction in terms of physician communication and physician–patient relationship. We also examine the influence of physicians’ emotional support and patients’ demographic as well as health characteristics on patients’ satisfaction. Sample: Our sample includes interviews with 806 community dwelling older adults (mean age =77.82 years, SD=8.41). The sample included residents of a large retirement community in Clearwater, FL, USA. Respondents were also included from representative samples of older adults living in Orlando and Miami, FL, USA, and Cleveland, OH, USA.Methods and results: Using multiple hierarchical regression analyses, we found that patients’ age and functional limitations were negatively associated with their care satisfaction. When compared with White patients, African-American patients were less satisfied with their physicians while Latino patients expressed greater satisfaction with their medical care. We found limited evidence of patients’ self-advocacy and such advocacy did not serve as a significant predictor of satisfaction with physicians. In contrast, patients’ perception of physicians’ readiness to act as patient advocates was a significant predictor of patients’ satisfaction. Emotional support of physicians was also associated with patients’ satisfaction.Conclusion: These findings raise questions about consumer empowerment among older adults and underscore their desire for and appreciation of physicians’ advocacy. Findings are discussed in the context of power imbalance between elderly patients and their doctors.Keywords: physicians’ emotional support, patient proactivity, patient-centered care, evaluations of medical care, paternalistic model of primary care
format	article
author	Kahana B Yu J Kahana E Langendoerfer KB
author_facet	Kahana B Yu J Kahana E Langendoerfer KB
author_sort	Kahana B
title	Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_short	Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_full	Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_fullStr	Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_full_unstemmed	Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
title_sort	whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/05b0c777056a4b0083a676030c3e31bd
work_keys_str_mv	AT kahanab whoseadvocacycountsinshapingelderlypatientsrsquosatisfactionwithphysiciansrsquocareandcommunication AT yuj whoseadvocacycountsinshapingelderlypatientsrsquosatisfactionwithphysiciansrsquocareandcommunication AT kahanae whoseadvocacycountsinshapingelderlypatientsrsquosatisfactionwithphysiciansrsquocareandcommunication AT langendoerferkb whoseadvocacycountsinshapingelderlypatientsrsquosatisfactionwithphysiciansrsquocareandcommunication
_version_	1718402938886422528

Whose advocacy counts in shaping elderly patients&rsquo; satisfaction with physicians&rsquo; care and communication?

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Whose advocacy counts in shaping elderly patients’ satisfaction with physicians’ care and communication?