OBJECTIVES: To identify patterns and emerging concepts used by assisted living (AL) residents, their families, and the facility staff to describe the care provided by physicians to the AL residents. DESIGN: Qualitative research and analysis based on audio-taped and transcribed ethnographic interviews with residents, family members, and staff of AL facilities. SETTING: Three AL facilities representing small and traditional AL facilities. PARTICIPANTS: Forty-three in-depth interviews including 16 AL residents, 13 family members, three facility managers, and 11 staff members. MEASUREMENTS: Ethnographic, audio-taped interviews coded by consensus by a doctoral-level analysis team. Coding focused broadly on any references to physicians or doctors in the interviews. RESULTS: Emergent themes included four major physician-related themes in AL including: magnification of physician authority; disagreements with physician care; physician communication; and continuity/discontinuity of physician care. CONCLUSION: Physicians caring for residents of AL facilities should consider how residents, families, and staff stakeholders may influence their patient care for AL residents in terms of their authority, decision-making, communication, and continuity of care.
OBJECTIVES: To identify patterns and emerging concepts used by assisted living (AL) residents, their families, and the facility staff to describe the care provided by physicians to the AL residents. DESIGN: Qualitative research and analysis based on audio-taped and transcribed ethnographic interviews with residents, family members, and staff of AL facilities. SETTING: Three AL facilities representing small and traditional AL facilities. PARTICIPANTS: Forty-three in-depth interviews including 16 AL residents, 13 family members, three facility managers, and 11 staff members. MEASUREMENTS: Ethnographic, audio-taped interviews coded by consensus by a doctoral-level analysis team. Coding focused broadly on any references to physicians or doctors in the interviews. RESULTS: Emergent themes included four major physician-related themes in AL including: magnification of physician authority; disagreements with physician care; physician communication; and continuity/discontinuity of physician care. CONCLUSION: Physicians caring for residents of AL facilities should consider how residents, families, and staff stakeholders may influence their patient care for AL residents in terms of their authority, decision-making, communication, and continuity of care.
Authors: Philip D Sloane; Sheryl Zimmerman; Rosa Perez; David Reed; Brandy Harris-Wallace; Christine Khandelwal; Anna Song Beeber; C Madeline Mitchell; John Schumacher Journal: J Am Geriatr Soc Date: 2011-11-08 Impact factor: 5.562
Authors: Paula Carder; Sheryl Zimmerman; Christopher J Wretman; John S Preisser; Sarah Dys; Philip D Sloane Journal: J Am Med Dir Assoc Date: 2021-12-14 Impact factor: 7.802