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Older people with heart failure and general practitioners: temporal reference frameworks and implications for
Susan Waterworth1, Merryn Gott, Deborah Raphael
1School of Nursing, The University of Auckland, New Zealand. s.waterworth@auckland.ac.nz
Health & Social Care in the Community
|February 18, 2011
Summary
Older patients and general practitioners (GPs) experience time in multiple ways, not just by the clock. Understanding these varied temporal experiences is key to improving care quality for elderly patients with heart failure.
Area of Science:
- Gerontology
- Healthcare Management
- Qualitative Research
Background:
- Time is a critical, yet often overlooked, factor in healthcare delivery.
- Older patients with chronic conditions like heart failure have unique temporal needs and experiences.
- General practitioners (GPs) also face time pressures and have specific temporal expectations within consultations.
Purpose of the Study:
- To explore and identify the diverse time experiences of older patients and their general practitioners (GPs).
- To understand how temporal reference frameworks influence patient-GP interactions and care experiences.
- To highlight the integral role of time in enhancing the quality of care for older adults with heart failure.
Main Methods:
- Secondary analysis of qualitative data from two longitudinal studies conducted in the United Kingdom and New Zealand.
- Involved interviews with older adults experiencing heart failure and focus groups/interviews with primary healthcare professionals, including GPs.
- Data collection spanned from 2004-2005 (UK) and 2008-2009 (NZ).
Main Results:
- Identified multiple 'times' influencing healthcare interactions, including clock time, emotional time, and the importance of continuity ('being known over time').
- Revealed tensions between 'needing time' and 'wasting time' in consultations.
- Demonstrated that temporal reference frameworks shape both patient and GP experiences and actions.
Conclusions:
- Time is integral to the quality of care for older patients with heart failure, extending beyond mere consultation length.
- Recognizing and understanding diverse temporal experiences is crucial for effective patient-GP relationships and care delivery.
- Temporal reference frameworks significantly impact how healthcare is experienced and managed by both patients and providers.
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