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Research ArticleOriginal Article

Physician-Elder Interaction in Community Family Practice

Edward J. Callahan, Kurt C. Stange, Stephen J. Zyzanski, Meredith A. Goodwin, Susan A. Flocke and Klea D. Bertakis
The Journal of the American Board of Family Practice January 2004, 17 (1) 19-25; DOI: https://doi.org/10.3122/jabfm.17.1.19
Edward J. Callahan
PhD
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Kurt C. Stange
MD, PhD
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Stephen J. Zyzanski
PhD
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Meredith A. Goodwin
MS
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Susan A. Flocke
PhD
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Klea D. Bertakis
MD, MPH
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  • Article
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Article Figures & Data

Tables

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    Table 1.

    Patient Characteristics

    Younger Patients 18–64 (n = 2529)Older Patients 65–74 (n = 520)Oldest Patients ≥75 (n = 404)P
    Patient age41.869.581.3<0.001*
    Patient gender (% female)64.960.665.70.151
    Patient race (% non-white)15.28.57.7<0.001†‡
    New vs established patient (% new)10.24.43.2<0.001†‡
    Reason for visit (%)
    Acute illness59.543.843.1<0.001†‡
    Chronic illness21.741.947.3
    Well care10.39.86.2
    Other8.64.43.5
    Number of visits in previous year4.04.95.6<0.001*
    Years as patient of physician5.28.28.2<0.001†‡
    Number of chronic illnesses2.14.25.0<0.001*
    Completed patient exit questionnaire (%)74.684.881.9<0.001†‡
    Satisfaction with physician (1 = poor, 5 = excellent)4.44.64.5<0.001†
    • * All three columns differ, P < .05.

    • † Column 1 differs from column 2, P < .05.

    • ‡ Column 1 differs from column 3, P < .05.

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    Table 2.

    Comparison of Time Use across Age Categories*

    Younger Patients 18–64 (n = 2469)Older Patients 65–74 (n = 513)Oldest Patients ≥75 (n = 395)P
    History taking57.358.757.30.31
    Planning treatment32.531.329.90.007†
    Physical examination20.922.122.90.02†
    Health education19.918.216.6<0.001‡
    Feedback on evaluation results13.414.614.70.01§†
    Family information10.48.58.5<0.001§†
    Chatting7.08.210.1<0.001‡
    Structuring the interaction7.68.18.50.11
    Patient questions6.67.58.1<0.001§†
    Preventive services3.03.63.10.16
    Procedures2.62.02.70.56
    Nutrition advice2.22.21.60.05
    Counseling2.41.61.10.001§†
    Exercise advice2.02.01.20.005†‖
    Compliance assessment1.62.12.10.001§†
    Smoking behavior assessment or advice1.90.90.4<0.001‡
    Assessing patient’s health knowledge1.41.31.00.06
    Health promotion1.71.10.8<0.001§†
    Negotiation1.11.31.40.15
    Substance use assessment or advice0.60.20.2<0.001§†
    Length of visit10.710.710.70.99
    • * Analyses are adjusted for patient sex, race, reason for visit, number of visits in previous year, number of chronic illnesses, new or established patient, and number of years as patient of physician.

    • † Column 1 differs from column 3, P < .05.

    • ‡ All three columns differ, P < .05.

    • § Column 1 differs from column 2, P < .05.

    • ‖ Column 2 differs from column 3, P < .05.

    • View popup
    Table 3.

    Partial Correlation of Percentage of Time Spent on Behavior with Satisfaction with Physician*

    Younger Patients 18–64 (n = 1711)Older Patients 65–74 (n = 356)Oldest Patients ≥75 (n = 239)
    History taking−0.0410.002−0.082
    Planning treatment†−0.037−0.1660.160
    Physical examination‡−0.052−0.0220.080
    Health education‡§0.004−0.0350.143
    Feedback on evaluation results−0.055−0.0250.038
    Family information‡§0.0450.061−0.102
    Chatting0.0670.1420.068
    Structuring the interaction‡−0.061−0.0560.082
    Patient questions−0.027−0.118−0.032
    Preventive services0.0110.0150.066
    Procedures0.0510.0600.021
    Nutrition advice0.0380.049−0.044
    Counseling‡0.027−0.047−0.107
    Exercise advice−0.0080.0660.006
    Compliance assessment‡0.029−0.016−0.107
    Smoking behavior assessment or advice0.0350.008−0.034
    Assessing patient’s health knowledge0.036−0.044−0.067
    Health promotion0.028−0.033−0.017
    Negotiation−0.028−0.0210.051
    Substance use assessment or advice‖0.009−0.1160.002
    Length of visit‡0.1510.0990.019
    • * Partial correlation is the magnitude of correlation that is significantly different from 0 (P < .05) is 0.047, 0.103, and 0.126 for the younger, older, and oldest patients, respectively. Analyses are adjusted for patient gender, reason for visit, chronic illnesses and number of visits in previous year.

    • † All three columns differ, P < .05.

    • ‡ Column 1 differs from column 3, P < .05.

    • § Column 2 differs from column 3, P < .05.

    • ‖ Column 1 differs from column 2, P < .05.

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The Journal of the American Board of Family Practice: 17 (1)
The Journal of the American Board of Family Practice
Vol. 17, Issue 1
1 Jan 2004
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Physician-Elder Interaction in Community Family Practice
Edward J. Callahan, Kurt C. Stange, Stephen J. Zyzanski, Meredith A. Goodwin, Susan A. Flocke, Klea D. Bertakis
The Journal of the American Board of Family Practice Jan 2004, 17 (1) 19-25; DOI: 10.3122/jabfm.17.1.19

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Physician-Elder Interaction in Community Family Practice
Edward J. Callahan, Kurt C. Stange, Stephen J. Zyzanski, Meredith A. Goodwin, Susan A. Flocke, Klea D. Bertakis
The Journal of the American Board of Family Practice Jan 2004, 17 (1) 19-25; DOI: 10.3122/jabfm.17.1.19
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