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Centre for Policy on Ageing | |
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Older people with heart failure and general practitioners
— temporal reference frameworks and implications for practice | | Author(s) | Susan Waterworth, Merryn Gott, Deborah Raphael, Sarah Barnes |
| Journal title | Health and Social Care in the Community, vol 19, no 4, July 2011 |
| Pages | pp 412-419 |
| Source | http://www.ingentaconnect.com/content/bsc/hscc |
| Keywords | Heart disease ; Chronic illness ; Medical care ; General practice ; Terminal care ; Quality ; Longitudinal surveys ; United Kingdom ; New Zealand. |
| Annotation | Chronic illness changes one's sense of time, and chronic disease management and palliative care have implications for health professionals' use of time. The aim of the study was to identify the temporal reference frameworks that structure and give meaning to the experiences of time for older patients with heart failure and their general practitioners (GPs). Secondary analysis of qualitative data collected from two longitudinal studies, one in the United Kingdom and the other in New Zealand, was carried out. The UK study involved interviews with 44 older people with heart failure and nine focus group discussions with primary health professionals during 2004-2005. The NZ study involved 79 interviews with 25 older people with heart failure and 30 telephone interviews with GPs during 2008-2009. Different temporal reference frameworks were identified for both patients and GPs. `Clock time' was evident in how it structured the consultations. Both patients and GPs valued `needing time', however there were tensions between `needing time' and `wasting time'. For some GPs this involved creating space for `emotional time'. Being `known over time' was important to both patients and GPs. The article concludes that understanding these multiple times is important for improving the quality of care for older people. (JL). |
| Accession Number | CPA-111124002 A |
| Classmark | CQH: CI: LK: L5: LV: 59: 3J: 8: 7YN |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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