Abstract:
: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_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Deimling GT,Smerglia VL,Barresi CMdoi
10.1177/089826439000200302subject
Has Abstractpub_date
1990-08-01 00:00:00pages
310-25issue
3eissn
0898-2643issn
1552-6887journal_volume
2pub_type
杂志文章abstract:OBJECTIVES:To investigate tobacco and alcohol consumption as risk indicators for missing teeth in late middle-aged Danes. METHOD:In all, 1,517 Copenhagen Aging and Midlife Biobank (CAMB) participants received a clinical oral examination that included number of teeth. Information on smoking, drinking, and various covar...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313509278
更新日期:2014-02-01 00:00:00
abstract::This research examines the role that relationship and household arrangement have in explaining the levels of care-related stress effects experienced by spouse and adult-child caregivers in shared and separate residences. Data from 180 spouse and adult-child caregivers were analyzed to identify differences in caregiver...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826438900100105
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVE:To present the bother subscales of the Nursing Home Vision-Targeted Health-Related Quality of Life Questionnaire (NHVQoL) and to examine their relationship to the original NHVQoL subscales and objective measures of visual function. METHOD:395 nursing home residents completed the bother subscales. Association...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264310361368
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVES:Older female smokers are highly vulnerable, yet little is known about their attitudes, beliefs, and behaviors regarding smoking cessation. METHODS:Southeast region Women's Health Initiative participants identified as smokers on at least one prior assessment were surveyed in 2012 regarding current tobacco us...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316687622
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:This article seeks to review debates about age-based rationing in health care. METHODS:The article identifies four different levels (or types) of decision-making in health resources allocation--societal, strategic, programmatic, and clinical--and assesses how the issues of rationing vary in relation to each...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430001200404
更新日期:2000-11-01 00:00:00
abstract::This article is a retrospective case-control study of patients from a Veteran's Affairs Medical Center and an urban public hospital. Patients (53) older than 55 at the time of their HIV diagnosis were age- and gender-matched to 106 HIV-negative controls. Potential predictors of HIV-infection were abstracted from the m...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264305276298
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:The current study examined racial differences in the relationship between late-life stress and health functioning and the moderating role of perceived social support (PSS) in older adults. METHOD:A biracial sample of community-dwelling older adults (65+) from the first two waves of the Duke University's Esta...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315618923
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:This article examines the relationship between cognitive functioning and emotional distress in a sample of 2,684 married couples from the 2006 and 2008 Korean Longitudinal Study of Aging. METHOD:Using the Center for Epidemiologic Studies Depression (CESD) scale and the Mini-Mental State Exam (MMSE), we analy...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311423703
更新日期:2012-02-01 00:00:00
abstract::Objectives: Drawing on UK Household Longitudinal Study data, this study assessed a pathway from early-life disadvantage to suboptimal later-life health via health behavior. Methods: Latent class analysis was used to identify distinct smoking, nutrition, alcohol, and physical activity health behavior profiles. Mediatio...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320981233
更新日期:2020-12-19 00:00:00
abstract:PURPOSE:Visual impairment and, to a lesser extent, hearing impairment are independent predictors of reduced survival in selected studies of community-residing adults. To date, the association of severity of concurrent impairment and mortality has not been examined. METHOD:The National Health Interview Survey is a cont...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264307300174
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:This article reports the characteristics associated with fecal incontinence (FI) in a nursing home population that are also associated with urinary incontinence (UI). METHOD:A cross-sectional survey composed of data from the Wisconsin Center for Health Statistics' Annual Nursing Home Survey in 1992 and 1993...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430101300406
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVE:To describe the use of postacute services alone or in combination following a hospitalization for a hip fracture or stroke by Medicare beneficiaries who were relatively well and living in the community prior to the index event. METHODS:Health-service use histories were constructed using Medicare claims. Pat...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439901100102
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:This study examines the impact of indebtedness on depressive symptomatology, anxiety, and anger. METHOD:We use data from a two-wave panel study of adults in Miami-Dade County. The analytic sample consists of 1,463 mostly older respondents with valid data on all study measures, including education, income, oc...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311431304
更新日期:2012-06-01 00:00:00
abstract::Objectives: This study examined the associations between parent-child relationships and sleep difficulty among older parents in the context of Chinese multiple-children and one-child families. Methods: Using the 2014 China Longitudinal Aging Social Survey, this study analyzed older parents' (N = 8,450) reports of slee...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320947304
更新日期:2020-12-01 00:00:00
abstract::Objective: There is limited knowledge about whether childhood disadvantage, defined as economic and health disadvantage, influences recovery from functional impairment. Method: Using data from the Health and Retirement Study (2008-2010), this research explores whether childhood disadvantage shapes recovery from mobili...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317733861
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:We examine the association between poverty, economic inequality, and health among elderly in Myanmar. METHOD:We analyze 2012 data from Myanmar's first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quali...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315584577
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:Studies have reported that rural elders in China have higher levels of depression than their urban peers. We aimed to examine the extent to which four sets of factors (socioeconomic status [SES], health care access, health status, and social support and participation) account for such rural-urban differences....
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315591003
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To determine the contributions of personal, structural, and neighborhood characteristics to differential access to health care for older persons in the United States. METHODS:This study used the 1994 National Health Interview Survey, ages 65 and older (n = 12,341), 1990 census block group data, and data on h...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430101300302
更新日期:2001-08-01 00:00:00
abstract::The article examines the association of disability and sociodemographic background with the type of social network in which elders are embedded and considers the implications of such associations for network continuity. METHODS. Secondary analysis of data from a national probability sample of Jewish adults aged 60 and...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264303015002004
更新日期:2003-05-01 00:00:00
abstract::Objectives: This study aimed to examine the longitudinal relationship between two central concepts in aging research-self-perceptions of aging (SPA) and perceived control of life (COL). Method: The data came from three measurement points over a 9-year period in the Health and Retirement Study (HRS). A random intercept...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320917303
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To explore the association between baseline life-space mobility and nursing home (NH) admission among community-dwelling older adults over 6 years. METHODS:Using data from a prospective, observational cohort study consisting of a random sample of 1,000 Medicare beneficiaries ≥ 65 years of age stratified by r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313497507
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Many studies have examined quality effects of nursing facility (NF) staffing, but few have examined effects of unionization. Concerned with possible effects of unionization on quality, we analyzed unionization and local market climate of unionization, predicting both complaints (reflecting either quality prob...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264307299371
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence and incidence of dementia and cognitive impairment without dementia (CIND) in the Mexican population. METHOD:The MHAS study is a prospective panel study of health and aging in Mexico with 7,000 elders that represent eight million participants nationally. Using measurements of cogni...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311421199
更新日期:2011-10-01 00:00:00
abstract::Objective: To estimate the prevalence of frailty using five different instruments in a cohort of older adults and explore the association between frailty and various risk factors. Method: 1,867 participants aged 65 years and above were included in the current retrospective cross-sectional study. Frailty was operationa...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264318801735
更新日期:2020-01-01 00:00:00
abstract::A national sample of persons who died in 1986 was analyzed to obtain a valid estimate of the relationship between functional status and the provision of formal home care during the last year of life. Community-based care has become increasingly important as the size of the elderly population increases and the cost fo...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439500700301
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVE:Our objective was to describe behavioral change trajectories for healthful eating and exercise in a group of community-dwelling older adults. A secondary aim was to determine predictors of maintenance and resilience. METHOD:Subjects were participants in the Study of Exercise and Nutrition in Older Rhode Isla...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317746264
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:This study assessed whether three commonly used self-rated health (SRH) items (global, age-comparative, and self-comparative) are equivalent measures of health perception for older adults. METHOD:Regression analyses were used to simultaneously contrast the associations between physical, psychological, and so...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264308321035
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:To describe the growth of the Hispanic population in the Midwest states of the United States, to present disability levels in older Mexican and non-Mexican-origin Midwest Hispanics by place of birth and poverty status, and compare disability levels among older Midwest Hispanics with those among Southwest His...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311422100
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:This was a cross-sectional study of the ability of independently living healthy elders to follow a medication regimen. Participants were divided into a group with High Cognitive Function (HCF) or Low Cognitive Function (LCF) based on their scores on the ADAS-Cog. METHOD:Thirty-eight participants aged 65 or o...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264309332836
更新日期:2009-06-01 00:00:00
abstract::Objective. This research was guided by a stress and support model to examine the effects of frontline workers' background characteristics, personal stressors, job-related stressors, and workplace support on satisfaction with supervision. Method. Survey data were collected from 644 workers in 49 long-term-care settings...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264308328641
更新日期:2009-02-01 00:00:00