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Wando Mount Pleasant Library
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Who do patients depend on as they age and for what medical needs? An exploratory study of Chinese and Latino primary care patients.
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- Author(s): Livaudais-Toman, Jennifer; Kaplan, Celia P.; Karliner, Leah S.
- Source:
BMC Primary Care; 6/8/2024, Vol. 25 Issue 1, p1-8, 8p- Subject Terms:
RESEARCH funding; BUNDLE-branch block; PRIMARY health care; LOGISTIC regression analysis; AGE distribution; DESCRIPTIVE statistics; MULTIVARIATE analysis; SERVICES for caregivers; CAREGIVERS; ODDS ratio; SURVEYS; RESEARCH; ATRIAL fibrillation; MEDICAL needs assessment; CONFIDENCE intervals; DATA analysis software - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: As the U.S. population ages, family members increasingly act as informal caregivers, particularly for minority patients and those with limited English proficiency (LEP). However, physicians often do not identify or engage caregivers until there is a health crisis. This study aims to further our understanding of characteristics associated with having a caregiver present at a primary care visit, and better understand the specific roles family caregivers engage in to support older Chinese and Latino primary care patients. Methods: Primary care patients were surveyed by telephone in a study of language access and communication. Participants included Chinese and Latino primary care patients (≥ 65 years old) from an academic general medicine practice. We asked patients if anyone was in the room with them during their most recent primary care visit (yes = caregiver accompanied). We asked about caregiving support for various needs, and examined associations of patient and visit characteristics with being accompanied, and frequency of caregiver support roles overall and by caregiver accompaniment. Results: Among 906 participants, 80% preferred a non-English language, 64% were women, 88% had Medicare, and mean age was 76 years (range 65–97). 43% were accompanied to their most recent visit. Speaking English 'not at all' vs. 'very well' was associated with being caregiver accompanied (OR 3.5; 95% CI 1.3–9.7), as was older age ≥ 75 vs. 65–74 (OR 2.7; 95% CI 2.0-3.7). The most common roles being supported by caregivers included: transportation to medical appointments (63%), helping with medical decisions (60%), and talking with the doctor about the patient's medical care (54%). Even among unaccompanied patients, substantial proportions reported caregiver support with medical decisions (45%), talking with the doctor (33%), and medical needs at home (26%). Conclusions: Opportunities for physicians to engage caregivers who have active support roles may be missed, especially if those caregivers are not present at the visit. Future interventions should aim to help physicians identify which patients have caregivers and for what needs, so they may effectively engage caregivers before a health crisis occurs. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of BMC Primary Care is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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