We focus on age for two reasons. First, age is relevant both for patient satisfaction and for physician-patient interaction. A recent review of patient satisfaction. Health systems have very different doctors and procedures for treating children and adults, but the divide often ends there.
People aged 65 and over are largely included in the category of geriatrics, without taking into account the enormous differences between people over 60 or 70 years old and those in 80 or 90 years old. Disasters affect children differently than adults. Learn more about the unique needs of children during and after disasters. As part of its action plan on maternity care, CMS has presented a proposal to designate a “fit to give birth” hospital that would provide public information on hospitals that have implemented best practices in the areas of quality, safety and equity of health care for pregnant and postpartum patients.
We consider alternative methods for measuring physician-patient encounters in order to capture the complexity of the encounters. We examined the extent to which the programmers agreed (kappa statistics) in the overall assessment of the dominance of the doctor compared to the patient (on a scale of 1 to 5) and of the doctor's kindness and kindness to the patient (scale of 1 to 5). We examined the association between patient satisfaction and age and interaction style to determine if clinicians interact differently with older patients in terms of focusing on the patient. Preliminary analyses (not presented) suggest that there are few differences between the patients of geriatric doctors and other doctors, although the number of patients in the study performed by these doctors is relatively small (n %3D 1).
In physician-dominated meetings, doctors talk approximately 55 percent more than patients, while in patient-centered meetings, doctors speak approximately 24 percent more than patients. Patients over 65 years of age are more likely to have a patient-centered consultation with their doctor (OR %3D 1.34, P %3D). Participating physicians attended approximately 3,500 patients at the clinic during the data collection period. Additional measures can also help reduce disparities, including the adoption of the ACA's Medicaid expansion in the remaining 12 states that have not yet been expanded, since nearly six out of ten adults with a coverage gap in these states are adults of color.
My father, sadly, is not the only elderly patient who takes so many medications and whose doctor shrugs off his concerns about it. This program focuses on a learning collaboration that outlines the approaches that Medicaid and CHIP agencies can implement to reduce low-risk C-section births and works directly with states to implement evidence-based best practices in their states. More and more hospitals are establishing specific emergency departments for older people, using specialized nurses who are trained to assess the cognitive function of older patients, drug interactions, depression and appropriate home support. Nine of the 13 doctors tended to hold patient-centered meetings, while four of the 13 tended to hold doctor-centered meetings.
In addition, many state Medicaid programs have implemented policies, programs and initiatives to improve maternity care and outcomes, such as expanding the eligibility of people during and after pregnancy, carrying out outreach and education activities for members and providers, expanding coverage for benefits such as doula care, home visits and treatment for substance use disorders and mental health, and the use of new approaches to payment, delivery and performance measurement. .