Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-24T05:34:55.988Z Has data issue: false hasContentIssue false

Treating Older Patients: Who Treats and Why?

Published online by Cambridge University Press:  29 November 2010

Judith Globerman
Affiliation:
University of Toronto*

Résumé

A la lumière de la proportion croissante de personnes âgées recourant aux services de médecins, cette recherche tente de déterminer dans quelle mesure les médecins qui traitent les personnes âgées sont différents de leurs collègues qui ne le font pas. Des études précédentes ont porté sur certaines facettes de cette problématique, notamment en ce qui concerne les caractéristiques des médecins, leurs comportements dans la pratique, leurs attitudes et leurs convictions générales. Cette étude examine à nouveau et de façon systématique ces différentes catégories, à partir d'un groupe de médecins, en utilisant une procédure de régression multiple. Les résultats laissent entendre que les médecins qui suivent des patients âgés dans les domaines de la chirurgie orthopédique, de la chirurgie générale et de l'ophthalmologie, ne sont pas vraiment différents de leurs collègues qui traitent des patients plusjeunes. On explore également dans cette étude d'autres explications concernant le choix des patients âgés. On se demande aussi quelles seraient les implications pour les patients âgés de choisir un médecin doté d'une expertise dans les soins gériatriques.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ben-Sira, Z. (1980). Physician-Patient Relationship: An Additional Dimension of Interaction Theory. Journal of Health and Social Behavior, 21(2), 170180.CrossRefGoogle ScholarPubMed
Birenbaum, A., Aronson, M., & Selffer, S. (1979). Training Medical Students to Appreciate the Special Problems of the Elderly. The Gerontologist, 19, 575579.Google Scholar
Campion, E.W., Mulley, A.G., Goldstein, R.L., Barnett, O., & Thibault, G.E. (1981). Medical Intensive Care for the Elderly. Journal of the American Medical Association, 246(18), 20522056.Google Scholar
Cartwright, Ann, & Anderson, Robert. (1981). General Practice Revisited. London: Tavistock Publications.Google Scholar
Charlson, M.E., Sax, F.L., MacKenzie, C.R., Fields, S.D., Braham, R.L. & Douglas, R.G. Jr (1986). Resuscitation: How do we decide? Journal of the American Medical Association, 255(10), 13161322.CrossRefGoogle ScholarPubMed
Colombotos, John. (1968). Physicians' Attitudes Toward Medicare. Medical Care, 6(4), 320331.CrossRefGoogle Scholar
Colombotos, John. (1969). Social Origins and Ideology of Physicians: A Study of the Effects of Early Socialization. Journal of Health and Social Behavior, 10(1), 1629.CrossRefGoogle ScholarPubMed
Crane, Diana. (1975). Decisions to Treat Critically Ill Patients: A Comparison of Social Versus Medical Considerations. Milbank Memorial Fund Quarterly, (Winter), 133.Google ScholarPubMed
Feldbaum Eleanor, G., & Feldbaum, Merle B. (1981). Caring for the Elderly: Who Dislikes It Least? Journal of Health Politics, Policy and Law, 5(4), 6272.CrossRefGoogle Scholar
Ford, C.V., & Sbordone, R.J. (1980). Attitudes of Psychiatrists Toward Elderly Patients. American Journal of Psychiatry, 137, 571575.Google ScholarPubMed
Globerman, J. (1990). Free-Enterprise, Professional Ideology and Self-interest: An Analysis of Resistance by Canadian Physicians to Universal Health Insurance. Journal of Health and Social Behavior 31(1), 1127.CrossRefGoogle ScholarPubMed
Gordon, L.V., & Mensh, I.N. (1962). Values of Medical Students at Different Levels of Training. Journal of Educational Psychology, 53, 4851.CrossRefGoogle Scholar
Gough, H.G. (1975). Specialty Preferences of Physicians and Medical Students. Journal of Medical Education, 50(6), 581588.Google ScholarPubMed
Gross, M.J., & Schwenger, C.W. (1981). Health Care Costs for the Elderly in Ontario: 1976–2026. Toronto: Ontario Economic Council.Google Scholar
Haug, Marie R. (1979). Doctor-Patient Relationships and the Older Patient. Journal of Gerontology, 34, 852860.Google Scholar
Haug, Marie R. (Ed.) (1981). Elderly Patients and Their Doctors. New York: Springer Pub. Co.Google Scholar
Health and Welfare Canada. (1981). The Health of Canadians - Canada Health Survey. Ottawa: Health and Welfare Canada.Google Scholar
Heller, T.A., Larson, E.B., & LoGerfo, J.P. (1984). Quality of Ambulatory Care of the Elderly: An Analysis of Five Conditions. Journal of the American Geriatrics Society, 32(11), 782788.CrossRefGoogle ScholarPubMed
Hilfiker, D. (1983). Allowing the Debilitated to Die. New England Journal of Medicine, 308(12), 716719.Google Scholar
Juan, I.R., Paiva, R.E.A., Haley, H.B., & O'Keefe, R.D. (1974). High and Low Levels of Dogmatism in Relation to Personality Characteristics of Medical Students: A Follow-Up Study. Psychological Reports, 34, 303315.CrossRefGoogle ScholarPubMed
Karasu, T., Stein, B., & Charles, E.S. (1979). Age Factors in Patient-Therapist Relationship. The Journal of Nervous and Mental Disease, 167, 100104.Google Scholar
Kastenbaum, R. (1964). The Reluctant Therapist. In Kastenbaum, R. (Ed.), New Thoughts on Old Age (pp. 139145). New York: Springer.CrossRefGoogle Scholar
Keeler, E.B., Solomon, D.H., Beck, J.C., Mendenhall, R.C., & Kane, R. (1982). Effect of Patient Age on Duration of Medical Encounters With Physicians. Medical Care, 20(11), 11011108.Google Scholar
Kucharski, L.T., White, R.M., & Schratz, M. (1979). Age Bias, Referral for Psychological Assistance and the Private Physician. Journal of Gerontology, 34(3), 423428.CrossRefGoogle ScholarPubMed
Linn, Bernard S., Pratt, Ted, & Zeppa, Robert. (1979). The Undergraduate Surgical Clerkship. Annals of Surgery, 189(2), 152157.CrossRefGoogle ScholarPubMed
Linn, Bernard S., & Zeppa, Robert. (1987). Student Attitudes about Surgery in Older Patients Before and After Surgical Clerkship. Annals of Surgery, 205, 324328.Google Scholar
Lipsitt, Don R. (1970). Medical and Psychological Characteristics of Crocks. Psychiatry in Medicine, 1, 1525.Google Scholar
Marshall, Victor W. (1981). Physician Characteristics and Relationships with Older Patients. In Haug, M. (Ed.), Elderly Patients and Their Doctors (pp. 94118). New York: Springer.Google Scholar
Miles, S. & Ryden, M. (1985). Limited-treatment Policies in Long-term Care Facilities. Journal of the American Geriatrics Society, 33(10), 707711.CrossRefGoogle ScholarPubMed
Ministry of Health. (1984). List of Physicians Participating in OHIP. Toronto: Ministry of Health.Google Scholar
Najman, J.M., Klein, D., & Munro, C. (1982). Patient Characteristics Negatively Stereotyped By Doctors. Social Science and Medicine, 16, 17811789.Google Scholar
Pearlman, Robert A., & Uhlmann, Richard F. (1988). Quality of Life in Chronic Diseases: Perceptions of Elderly Patients. Journal of Gerontology, 43(2), M25–M30.Google Scholar
Perricone, P.J. (1974). Social Concern in Medical Students: A Reconsideration of the Eron Assumption. Journal of Medical Education, 49, 541546.Google ScholarPubMed
Radecki, S.E., Kane, R.L., Solomon, D.H., Mendenhall, R.C., & Beck, J.C. (1988a). Do Physicians Spend Less Time with Older Patients? Journal of the American Geriatrics Society, 36(8), 713718.CrossRefGoogle ScholarPubMed
Radecki, S.E., Kane, R.L., Solomon, D.H., Mendenhall, R.C., & Beck, J.C. (1988b). Are Physicians Sensitive to the Special Problems of Older Patients? Journal of the American Geriatrics Society, 36(8), 719725.CrossRefGoogle Scholar
Ray, Diane C., Raciti, Michael A., & Ford, Charles V. (1985). Ageism in Psychiatrists: Associations with Gender, Certification, and Theoretical Orientation. The Gerontologist, 25(5), 496500.Google Scholar
Rezler, Agnes G. (1974). Attitude Changes During Medical School: A Review of the Literature. Journal of Medical Education, 49(11), 10231030.Google ScholarPubMed
Schwartz, D., & Reilly, P. (1986). The Choice Not To Be Resuscitated. Journal of the American Geriatrics Society, 34(11), 807811.Google Scholar
Smith, C.W., & Wattis, J.P. (1989). Medical Students' Attitudes to Old People and Career Preference: The Case of Nottingham Medical School. Medical Education, 23, 8185.CrossRefGoogle ScholarPubMed
Snider, Earle L. (1980). The Elderly and Their Doctors. Social Science and Medicine, 14A, 527531.Google Scholar
Taylor, Malcolm G., Stevenson, J.M., & Williams, A.P. (1984). Medical Perspectives on Canadian Medicare. Toronto: York University.Google Scholar
Taylor-Gooby, Peter. (1983). Moralism, Self-Interest and Attitudes to Welfare. Policy and Politics, 2(2), 145160.Google Scholar
Wattis, J.P., Smith, C.W., & Binns, V. (1986). Medical Students' Attitudes to Old People and Career Preference: A Comparison of Two Universities. Medical Education, 20(6), 498501.CrossRefGoogle ScholarPubMed
Weinstein, P., & Gipple, C. (1975). Some Determinants of Career Choice in the Second Year of Medical School. Journal of Medical Education, 50(2), 194198.Google ScholarPubMed
Wilson, J.F., & Hafferty, F.W. (1983). Long-term Effects of a Seminar on Aging and Health for First-year Medical Students. The Gerontologist, 23, 319324.CrossRefGoogle ScholarPubMed