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Multimorbidity and Decision-Making Preferences Among Older Adults
Winnie C Chi1, Jennifer Wolff2, Raquel Greer3
1RTI International, Washington, DC wchi@rti.org.
Annals of Family Medicine
|November 15, 2017
Summary
Most older adults prefer active health care decision-making. However, those with multiple chronic conditions are less likely to prefer active participation, highlighting the need for personalized care approaches.
Area of Science:
- Gerontology
- Health Services Research
- Patient-Centered Care
Background:
- Understanding patient preferences is key for person-centered care.
- Older adults' decision-making preferences vary.
- Multimorbidity impacts health care engagement.
Purpose of the Study:
- Explore health care decision-making preferences in older adults.
- Identify multimorbidity profiles linked to passive decision-making preferences.
- Inform person-centered care strategies for older populations.
Main Methods:
- Cross-sectional study of 2,017 US older adults (National Health and Aging Trends Study).
- Defined passive decision-making as deferring to physicians.
- Analyzed multimorbidity using condition counts and clusters.
- Used logistic regression adjusted for demographics and mobility.
Main Results:
- Majority of older adults prefer active participation in health decisions.
- Older adults with ≥4 conditions or multiple condition clusters showed less preference for active decision-making.
- Multimorbidity is associated with a tendency towards passive decision-making.
Conclusions:
- Primary care physicians should initiate shared decision-making with older adults, especially those with multiple conditions.
- Tailor decision-making processes to individual preferences for effective person-centered care.
- Recognize and adapt to diverse decision-making styles among older patients.
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