Primary Healthcare Use Patterns of Chronically Ill Elders: A methodological framework derived from four studies

2.50
Hdl Handle:
http://hdl.handle.net/10755/158851
Type:
Presentation
Title:
Primary Healthcare Use Patterns of Chronically Ill Elders: A methodological framework derived from four studies
Abstract:
Primary Healthcare Use Patterns of Chronically Ill Elders: A methodological framework derived from four studies
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Corser, William, PhD, RN, NEA-BC
P.I. Institution Name:Michigan State University
Contact Address:416B West Fee Hall, East Lansing, MI, 48824, USA
Contact Telephone:517-449-7353
Co-Authors:W.D. Corser, College of Nursing, Michigan State University, East Lansing, MI;
This presentation will first review the importance of nurse researchers better understanding the processes of elders with one or more chronic health conditions currently use to navigate healthcare systems to meet their health-related needs. The quantitative and qualitative results of four funded studies which have investigated the longitudinal healthcare service use patterns of primary care elders will be used to present four primary decision-making challenges. These include: a) self-prioritization, b) self-coordination, c) self-engagement, and d) self-correction. A summary methodological framework reflecting the complex primary healthcare seeking decisions imposed on chronically ill elders will be presented. The framework will be used to summarize results demonstrating eight groups of socio-demographic, clinical, and psychosocial factors that the presenter has shown to significantly influence healthcare service use rate of: a) scheduled/unscheduled office visits, b) office phone calls, c) specialty/primary care provider encounters, d) outcomes or need-oriented encounters, and e) emergency room versus office-based service use orientation. The quantitative results of several sample subgroup analyses from these studies will be used to discuss the characteristics of primary care elders who are more or less likely to use different sources of healthcare with accompaning interview comments. Six major methodological challenges for nurse researchers investigating the contemporary primary care service use patterns of chronically ill elders will be discussed. Several strengths and weakness of different reporting sources for researchers who are working in this area will be presented. A series of implications for primary care intervention design and outcomes modeling will also be proposed. Major policy implications for this area of primary care research will be summarized with a list of research readings provided.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePrimary Healthcare Use Patterns of Chronically Ill Elders: A methodological framework derived from four studiesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158851-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Primary Healthcare Use Patterns of Chronically Ill Elders: A methodological framework derived from four studies</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Corser, William, PhD, RN, NEA-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Michigan State University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">416B West Fee Hall, East Lansing, MI, 48824, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">517-449-7353</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Corser@msu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">W.D. Corser, College of Nursing, Michigan State University, East Lansing, MI;</td></tr><tr><td colspan="2" class="item-abstract">This presentation will first review the importance of nurse researchers better understanding the processes of elders with one or more chronic health conditions currently use to navigate healthcare systems to meet their health-related needs. The quantitative and qualitative results of four funded studies which have investigated the longitudinal healthcare service use patterns of primary care elders will be used to present four primary decision-making challenges. These include: a) self-prioritization, b) self-coordination, c) self-engagement, and d) self-correction. A summary methodological framework reflecting the complex primary healthcare seeking decisions imposed on chronically ill elders will be presented. The framework will be used to summarize results demonstrating eight groups of socio-demographic, clinical, and psychosocial factors that the presenter has shown to significantly influence healthcare service use rate of: a) scheduled/unscheduled office visits, b) office phone calls, c) specialty/primary care provider encounters, d) outcomes or need-oriented encounters, and e) emergency room versus office-based service use orientation. The quantitative results of several sample subgroup analyses from these studies will be used to discuss the characteristics of primary care elders who are more or less likely to use different sources of healthcare with accompaning interview comments. Six major methodological challenges for nurse researchers investigating the contemporary primary care service use patterns of chronically ill elders will be discussed. Several strengths and weakness of different reporting sources for researchers who are working in this area will be presented. A series of implications for primary care intervention design and outcomes modeling will also be proposed. Major policy implications for this area of primary care research will be summarized with a list of research readings provided.</td></tr></table>en_GB
dc.date.available2011-10-26T21:27:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:27:31Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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