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Engaging Patients in Discussions About Medication Deprescribing.
J Gen Intern Med
January 2025
Center for Health Optimization and Implementation Research, VA Boston Healthcare System and VA Bedford Healthcare System, Boston and Bedford, MA, USA.
Background: Deprescribing, intentional medication discontinuation or dose reduction, can reduce potentially inappropriate medication use and medication-related harms. Engaging patients in deprescribing discussions may increase likelihood of deprescribing and promote shared decision-making.
Objective: To examine the impact of patient-directed educational brochures on patient engagement and deprescribing discussions with primary care providers (PCPs).
Starfield's 4Cs of NCD management in primary healthcare: a conceptual framework development from a case study of 19 countries.
BMJ Glob Health
January 2025
School of Public Health, Imperial College London, London, UK.
Introduction: Faced with a backdrop of an increasing chronic disease burden from an ageing global population compounded with rising healthcare costs, health systems are required to implement cost-effective, safe and equitable care through efficient service delivery models. One approach to achieving this is through Starfield's 4Cs of primary healthcare (PHC), which delineates the key attributes of a high-performing PHC system that upholds the pillars of care coordination, first contact of care, continuity of care and comprehensive care. Therefore, this study aims to explore and elucidate the key themes and subthemes related to and extending beyond Starfield's 4Cs of PHC by integrating findings from a comprehensive literature review and a qualitative study.
View Article and Find Full Text PDFDeveloping an Intervention to Enhance Aging in Place for Older Veterans Living in Permanent Supportive Housing.
Gerontologist
January 2025
Center for Health Equity Research and Promotion, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA.
Background And Objectives: The Housing and Urban Development-Veterans Affairs Supported Housing (HUD-VASH) program provides rental subsidies, case management, and supportive services to Veterans who are currently or formerly homeless, 77% of whom are ages ≥50. Few interventions have been developed to address the needs of older Veterans in HUD-VASH.
Research Design And Methods: We conducted a 2-stage study to inform the development of an intervention to promote aging in place in HUD-VASH.
Predictors of Generativity among SGM Midlife and Older Adults.
Gerontologist
January 2025
University of Washington, School of Social Work, Seattle, WA USA.
Background And Objectives: Generativity, a concern and commitment for others, has shown to be positively associated with health and well-being. Research on generativity in sexual and gender minority (SGM) communities is limited, despite its potential importance given the marginalization older SGM individuals face and limited interaction between generations. We integrate Generativity Theory and the Health Equity Promotional Model to examine key factors for generativity and subgroup differences among SGM midlife and older adults.
View Article and Find Full Text PDFThe effect of conflicting versus consistent messaging on older women's support for breast cancer screening cessation.
Patient Educ Couns
January 2025
University of Minnesota Hubbard School of Journalism and Mass Communication, Minneapolis, MN, USA.
Objective: Breast cancer over-screening is common in older women. Messaging about breast cancer screening cessation may reduce over-screening but the broader informational environment often emphasizes screening continuation. We aimed to examine the effect of receiving consistent messages about breast cancer screening cessation versus conflicting messages (i.
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