Official websites use. Share sensitive information only on official, secure websites. Tracking ID While attorneys, judges, and other legal professionals are not generally considered healthcare team members, they provide front-line identification and response to age-related health conditions affecting legal outcomes. Questionnaires included open and close-ended questions to assess demographics, attitudes towards older adults validated Geriatrics Attitudes Scale and self-reported knowledge of geriatrics topics relevant to legal services, including cognitive and sensory impairment, legal competency, and knowledge of community resources.
Questionnaires also elicited recommendations for closing geriatrics knowledge gaps. We analyzed questionnaires using standard grounded theory principles and conducted in-depth interviews with 9 participants to ensure that questionnaires were interpreted accurately. Five recommendations to close these knowledge gaps emerged: 1 educate legal professionals about aging-related health; 2 develop checklists to identify older adults at risk of health decline or poor safety; 3 train to assess older adults for cognitive and sensory impairments before legal proceedings; 4 create communication mechanisms between legal professionals, clinicians, and social services providers about client needs during and after detainment; and 5 encourage multidisciplinary research to improve health outcomes in older adults.
Hanson 3,1 ; Jeffrey L. Jackson 4,1. We sought to explore how patients and doctors perceive the degree of shared decision making in the same chronic care encounters, and how well their perceptions correspond with objective assessments of the interaction. METHODS: Prospective, observational study of audiotaped encounters, with surveys of patients and physicians before and after the encounter. We enrolled a consecutive sample of participants aged 40β80 y. Three raters PO, DB, GR dual-rated transcriptions independently on the level of decision making complexity low, medium, high , and the degree of shared decision making item scale , blinded to the patient and doctor ratings; disagreements were reconciled through consensus.
Agreement between patient, doctor, and objective ratings were measured using the intraclass correlation coefficient ICC. Categorical ratings of encounters by collapsing scores into 3 groups , stratified by perspective doctor, patient, objective , is presented in the table below. Interventions to improve shared decision making will need to address 1.
Physician lack of awareness of their tendency to dominate encounters, and 2. Logio 2. Given duty hour restrictions, there is concern that residents experience increased workload due to having fewer hours to do the same amount of work. Geographic localization of physicians to patient care units is thought to improve communication and agreement on goals of care, and also to reduce workload by decreasing paging and other inefficiencies attributable to traveling throughout the hospital.
