This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Deimling, G. T. Articles by Barresi, C. M. Search for Related Content PubMed PubMed Citation Articles by Deimling, G. T. Articles by Barresi, C. M. Social Bookmarking                         What's this?

Health Care Professionals and Family Involvement in Care-Related Decisions Concerning Older Patients

Benjamin Rose Institute

Virginia L. Smerglia, MA

University of Akron

Charles M. Barresi, PhD

University of Akron

This article examines care-related decision making within the context of in-home family care. It also uses the Andersen-Newman model to identify the correlates of physician involvement and centrality in decision making and the impact that it has on family members' caregiving satisfaction. Analysis of data from 244 family caregivers shows that elders (40%) and nuclear kin (53%) are key decision makers, indicating that families prefer to control care-related decisions. However, physicians are part of the decision-making process for nearly one fourth of the families in this study. The patient's impairment and the caregiver's education correlate with physician involvement in decision making. Shared residence and caregiver's overall satisfaction with the caregiving process correlate with physician centrality on the network. Discussion centers on implications for physician interactions with caregiving families around decision making. Included are indications for improved communication in decision-making contexts.

Journal of Aging and Health, Vol. 2, No. 3, 310-325 (1990)
DOI: 10.1177/089826439000200302


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				J. L. Wolff, E. R. Giovannetti, C. M. Boyd, L. Reider, S. Palmer, D. Scharfstein, J. Marsteller, S. T. Wegener, K. Frey, B. Leff, et al. Effects of Guided Care on Family Caregivers Gerontologist, August 26, 2009; (2009) gnp124v1. [Abstract] [Full Text] [PDF]

				S. Sorensen and M. Pinquart Vulnerability and Access to Resources as Predictors of Preparation for Future Care Needs in the Elderly J Aging Health, August 1, 2000; 12(3): 275 - 300. [Abstract] [PDF]

				S. Sorensen Predictors of Anticipating Caregiving in Multigeneration Families: An Exploratory Study Journal of Applied Gerontology, December 1, 1998; 17(4): 499 - 520. [Abstract] [PDF]

				G. Wielink, R. Huijsman, and J. McDonnell Preferences for Care: A Study of the Elders Living Independently in the Netherlands Research on Aging, June 1, 1997; 19(2): 174 - 198. [Abstract]

				F. M. Weaver, C. K. Ross, G. Chapman, M. O'Brien, and A. S. Elstein Discharge Planning Decision Making by Hospitalized Patients Journal of Applied Gerontology, December 1, 1994; 13(4): 398 - 412. [Abstract] [PDF]

				Information use in discharge accommodation recommendations for stroke patients Clinical Rehabilitation, January 1, 1993; 7(3): 181 - 188. [Abstract] [PDF]

				F. M. Weaver and M. Burdi Developing a Model of Discharge Planning Based on Patient Characteristics J Aging Health, August 1, 1992; 4(3): 440 - 452. [Abstract] [PDF]