Are Physicians Sensitive to the Special Problems of Older Patients?
- 1 August 1988
- journal article
- research article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 36 (8) , 719-725
- https://doi.org/10.1111/j.1532-5415.1988.tb07174.x
Abstract
The sensitivity of primary care physicians to the health care needs of older patients was explored by means of an analysis of the use of diagnostic tests and therapeutic procedures during ambulatory visits. Survey data on a total of 28,265 visits to internists, family and general practitioners were examined to determine possible age-related differences in care. The study found that diagnostic testing fall off significantly for patients 75 years of age or older and that internists use substantially more tests for each age group than do family and general practitioners. The pattern of use of diagnostic tests in this secondary analysis does not address the issue of "appropriateness" but does suggest a pattern that makes little sense based on the known distribution of disease and functional disability in aging populations.Keywords
This publication has 16 references indexed in Scilit:
- Residency Training in Internal Medicine: Time for a Change?Annals of Internal Medicine, 1986
- Health Care of the ElderlyNew England Journal of Medicine, 1985
- Quality of Ambulatory Care of the ElderlyJournal of the American Geriatrics Society, 1984
- Glucose Intolerance and AgingDiabetes Care, 1981
- The Contribution of Specialists to the Delivery of Primary CareNew England Journal of Medicine, 1979
- The effect of aging on carbohydrate metabolism: A review of the English literature and a practical approach to the diagnosis of diabetes mellitus in the elderlyMetabolism, 1979
- A National Study of Medical and Surgical SpecialtiesJAMA, 1979
- A National Study of Medical and Surgical SpecialtiesPublished by American Medical Association (AMA) ,1978