| Автор | Young, Rosalie, F. |
| Автор | Kahana, Eva |
| Дата выпуска | 1989 |
| dc.description | This study investigated the physician's role in proffering appropriate medical advice to aged patients and the patient's role in complying with that advice. Heart disease, which takes a major health toll among the aged but is amenable to risk reduction practices, exemplifies a condition that offers physicians the opportunity to play an important health promotion role. The advice given by physicians to 246 heart patients and their compliance with the advice is the subject of this article. Data were obtained from a longitudinal study of recovering myocardial infarction patients aged 60 and over (n = 204), and a comparison group of patients aged 45-59 (n = 42). The patient cohorts were similar in health and demographic factors. Findings from interviews conducted six weeks after hospital discharge indicated major age differences in cardiac risk reduction advice given by physicians, but no age effects of patient compliance with the medical advice. Neither preinfarction nor postinfarction cardiac health were factors in compliance. Findings suggest that older patients are systematically denied the opportunity for lessening risk of future heart problems by adopting behavioral changes, despite a lack of evidence that aged heart patients will not adhere to medical advice to engage in these changes. Suggestions are given for interventive efforts directed at both physicians and patients. |
| Издатель | Sage Publications |
| Название | Age, Medical Advice about Cardiac Risk Reduction, and Patient Compliance |
| Тип | Journal Article |
| DOI | 10.1177/089826438900100108 |
| Print ISSN | 0898-2643 |
| Журнал | Journal of Aging and Health |
| Том | 1 |
| Первая страница | 121 |
| Последняя страница | 134 |
| Аффилиация | Young, Rosalie, F., Wayne State University |
| Аффилиация | Kahana, Eva, Case Western Reserve University |
| Выпуск | 1 |
| Библиографическая ссылка | Becker, M. H. (1985). Patient adherence to prescribed therapies. Medical Care, 23. 539-555. |
| Библиографическая ссылка | Becker, M. H., & Maiman, L. A. (1975). Sociobehavioral determinants of compliance with health and medical care recommendations. medical Care, 1,10-24. |
| Библиографическая ссылка | Blackburn, H., Watkins, L. O., Agras, W. S., Carleton, R. A., & Falkner, B. (1987). Task force 5: Primary prevention of coronary heart disease. Circulation (Supplement 1)76,164-167. |
| Библиографическая ссылка | Brammel, H. L. (1986). Rehabilitation of the elderly cardiac patient. In S. J. Brody & G. E. Ruff (Eds.). Aging and rehabilitation. New York: Springer. |
| Библиографическая ссылка | Butler, R. (1978). The doctor and the aged patient. In W. Reichel (Ed.), The geriaroic patient. New York: H. P. Publishing. |
| Библиографическая ссылка | Croog, S., & Levine, S. (1982). Life after a heart attack: Social and psychological factors eight years later. New York: Human Services. |
| Библиографическая ссылка | Epstein, L. H., & Cluss, P. A. (1982). Behavioral medicine perspective on adherence to long-term medical regimens. Journal of Consulting and Clinical Psychology, 50,950-971. |
| Библиографическая ссылка | Fine, I. (1981). The patient viewpoint. In Marie R. Haug (Ed.), Elderly patients and their doctors. New York: Springer. |
| Библиографическая ссылка | Franklin, B. A. (1984). Exercise program compliance: Improvement strategies. In J. Storlie & H. A. Jordan (Eds.), Behavioral management of obesity. New York: Spectrum. |
| Библиографическая ссылка | Friedewald, W. T. (1987). Introductory remarks. 1. Journal of the American College of Cardiology, 10A,7. |
| Библиографическая ссылка | Friedman, G. D., Petitti, D. B., Bawol, R. D., & Siegelaub, A. B. (1981). Mortality in cigarette smokers and quitters. New England Journal of Medicine, 304,1407-1410. |
| Библиографическая ссылка | Gori, P., Pivott, F., Mase, N., Zucconi, V., & Scardi, S. (1984). Compliance with cardiac rehabilitation in the elderly. European Heart Journal, Supplement 5, 109-111. |
| Библиографическая ссылка | Gray, M. (1983). Communicating with elderly people. In D. Pendleton & J. Hasler (Eds.), Doctor-patient communication. New York: Academic Press. |
| Библиографическая ссылка | Haug, M. R., & Ory, M. G. (1987). Issues in elderly patient-provider interactions. Research on Aging, 9,3-44. |
| Библиографическая ссылка | Haug, M. R. (1981). Introduction. In M. R. Haug (Ed.), Elderly patients and their doctors. New York: Springer. |
| Библиографическая ссылка | Haynes, R. B., Taylor, D. W., & Sackett, D. L. (1979). Compliance in health care. Baltimore, MD: Johns Hopkins University Press. |
| Библиографическая ссылка | Herd, J. A., Wood, A.J.J., Blumenthal, J., Daugherty, J. E., & Harris, R. (1987). Medical therapy in the elderly. Journal of the American College of Cardiology, 10A,29-34. |
| Библиографическая ссылка | Hulka, B., Kupper, L. L., Cassel, J. C., Efrid, R. L., & Burdette, J. A. (1975). Medication use and misuse: Physician-patient discrepancies. Journal of Chronic Disease, 28,7-21. |
| Библиографическая ссылка | Inui, T. S., & Carter, W. B. (1985). Problems and prospects for health services research on provider-patient communication. Medical Care, 23,521-538. |
| Библиографическая ссылка | Kahana, E., & Kiyak, A. (1984). Attitudes and behaviors of staff in facilities for the aged. Research on Aging, 6,395-416. |
| Библиографическая ссылка | Kannel, W. B., Doyle, J. T., Shephard, R. J., Stamler, J., & Vokonas, P. S. (1987). Prevention of cardiovascular disease in the elderly. Journal of the American College of Cardiology, 10A,25-28. |
| Библиографическая ссылка | Kart, C. S., Metress, E. S., & Metress, J. F. (1978). Aging and health: Biologic and social perspectives. Reading, MA: Addison-Wesley. |
| Библиографическая ссылка | Kendrick, R., & Bayne, J.R.D. (1982). Compliance with prescribed medication by elderly patients. Canadian Medical Association Journal, 127, 961-962. |
| Библиографическая ссылка | Kirscht, J. P., & Rosenstock, I. M. (1979). Patients' problems in following recommendations of health experts. In G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass. |
| Библиографическая ссылка | Lawton, M. P., Moss, M., Fulcomer, M., & Kleban, M. H. (1982). A research and service oriented multilevel assessment instrument. Journal of Gerontology, 37,109-112. |
| Библиографическая ссылка | Ley, P. (1983). Communication failure. In D. Pendleton & J. Hasler (Eds.). Doctor-patient communication. New York: Academic Press. |
| Библиографическая ссылка | Libow, L. S. (1977). The issues in geriatric medical education and postgraduate training: Old problems in a new field. Geriatrics, 32,99-102. |
| Библиографическая ссылка | Miller, D. B., Lowenstein, R., & Winston, R. (1976). Physician attitudes toward the ill, aged, and nursing homes. Journal of the American Geriatrics Society, 24, 498-505. |
| Библиографическая ссылка | Miller, M. B., & Elliot, D. F. (1976). Errors and omissions in diagnostic records on admission of patients to a nursing home. Journal of the American Geriatrics Society, 24,108-116. |
| Библиографическая ссылка | Mumford, E., Schlesinger, H. J.. & Glass, G. V. (1982). The effects of psychological intervention on recovery from surgery' and heart attacks: Analysis of the literature. American Journal of Public Health, 72,141-151. |
| Библиографическая ссылка | New York Heart Association. (1966). Diseases of the heart and blood vessels: Nomenclature and criteria for diagnosis (6th ed.). Boston: Little, Brown. |
| Библиографическая ссылка | Pendleton, D. (1983). Doctor-patient communication: A review. In O. Pendleton & J. Hasler (Eds.), Doctor-patient communication. New York: Academic Press. |
| Библиографическая ссылка | Richardson, J. L. (1986). Perspectives on compliance with drug regimens among the elderly. Journal of Compliance in Health Care, 1,33-45. |
| Библиографическая ссылка | Rost, K., & Rotor, D. (1987). Predictors of recall of medication regimens and recommendations for lifestyle change in elderly patients. Gerontologist, 27, 510-515. |
| Библиографическая ссылка | Sackett, D. L., & Haynes, R. B. (1978). Compliance with therapeutic regimens. Baltimore. MD: Johns Hopkins University Press. |
| Библиографическая ссылка | Waitzkin, H. (1984). Doctor-patient communication: Clinical implications of social scientific research. Journal of tie American Medical Association, 252,2441-2446. |
| Библиографическая ссылка | Wenger, N. K., Franciosa, J. A., & Weber, K. T. (1987). Heart failure. .Journal of tile American College of Cardiology,, ]OA,73-76. |
| Библиографическая ссылка | Wenger, N. K., Hellerstein, H. K., Blackburn, H., & Castranova, S. J. (1982). Physician practice in the management of patients with uncomplicated myocardial infarction: Changes in the past decade. Circulation, 65,421-427. |
| Библиографическая ссылка | Williams, T. F. (1981). The physician viewpoint. In M. R. Haug (Ed.). Elderly patients and their doctors. New York: Springer. |
| Библиографическая ссылка | Williams, T. F. (1986). Geriatrics: The fruition of the clinician reconsidered. Gerontologist, 26, 345-349. |
| Библиографическая ссылка | Young, R. F., Kahana, E., & Rubenfire, M. (1987). Preventive health behavior advice: Older myocardial infarction patients. Evaluation and the Health Professions. 10,384-407. |
