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Optimizing patient and family involvement in geriatric home care
Jennifer L Wolff1, Debra L Roter, Barbara Given
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. jwolff@jhsph.edu
Abstract:
Although a growing body of literature supports the expansion of patient and family involvement in healthcare processes, little attention has thus far been directed at activating geriatric home care patients and/or families to be more effective in managing health-related activities. In this manuscript we consider the unique needs, attributes, and circumstances of the geriatric home care population in conjunction with patient, family, provider, and organizational interventions with a primary or secondary objective of activating patients and/or families. We summarize what has been learned from these efforts, with attention to feasibility and potential applicability to geriatric home care.
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The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.