Journal of general internal medicine
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Clinical Trial
A pilot test of the effect of guided care on the quality of primary care experiences for multimorbid older adults.
Improving health care of multimorbid older adults is a critical public health challenge. The objective of this study is to evaluate the effect of a pilot intervention to enhance the quality of primary care experiences for chronically ill older persons (Guided Care). ⋯ In this pilot study, Guided Care appeared to improve the quality of primary care experiences for high-risk, chronically ill older adults. A larger cluster-randomized controlled trial of Guided Care is underway.
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Although patients should know the level of training of the physician providing their care in teaching hospitals, many do not. ⋯ Physicians in our sample were rarely specific about their level of training and role in patient care when introducing themselves to patients. This lack of communication may contribute to patients' lack of knowledge regarding who is caring for them in a teaching hospital.