Perspectives in Family Medicine and Primary Care of Older People

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 15 December 2024 | Viewed by 2580

Special Issue Editor


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Guest Editor
Department of Home Care and Regional Liaison Promotion, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan
Interests: family medicine; primary care; home healthcare; advance care planning; shared decision making; long-term care systems; interprofessional education; end-of-life care
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Special Issue Information

Dear Colleagues,

With the aging of the global population, the number of older people with chronic diseases is increasing. Given that numerous older people want to live in familiar areas and places, there is a demand for medical and nursing care that supports recuperative life in the community while maintaining a high quality of life for patients. The COVID-19 pandemic has further increased the need for such community healthcare. Therefore, it is essential to enhance family medicine and primary care to meet the communities' needs.

The core values of family medicine regarding environmental healthcare sciences and services are diverse, including comprehensive primary care, patient-centered care, continuity of care, and multidisciplinary collaboration. In addition, practicing a goal-oriented perspective, advance care planning, and shared decision making is essential for patient-centered care. Still, the relationship between these activities and patient outcomes is unclear and requires further research. Furthermore, home health (medical) care is an element in family medicine and primary care; however, there is not enough evidence for this care.

In this Special Issue, we would be pleased to accept submissions of high-quality research papers that respond to current clinical questions regarding the latest family medicine and primary care, if possible including the situation during the COVID-19 pandemic.

This Special Issue is dedicated to the subject area of perspectives in family medicine and primary care for older people. Listed below are the keywords that outline some possible areas of interest.

You may choose our Joint Special Issue in Nursing Reports.

Dr. Hisayuki Miura
Guest Editor

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • family medicine
  • primary care
  • quality of life
  • comprehensive care
  • continuity of care
  • patient-centered care
  • multidisciplinary collaboration
  • information technology
  • advance care planning
  • shared decision making
  • COVID-19
  • home healthcare

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Published Papers (2 papers)

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15 pages, 1036 KiB  
Article
Evaluation of an Advanced Care Planning Training Program Incorporating Online Skills in Shared Decision Making: A Preintervention and Postintervention Comparative Study
by Yuko Goto and Hisayuki Miura
Healthcare 2023, 11(9), 1356; https://doi.org/10.3390/healthcare11091356 - 8 May 2023
Cited by 4 | Viewed by 1486 | Correction
Abstract
Aim: This study evaluated an advanced care planning (ACP) training program incorporating online skills in shared decision making (SDM). Method: The New World Kirkpatrick Model was employed to assess the efficacy of the training program at four levels: reaction, learning, behavior, and results. [...] Read more.
Aim: This study evaluated an advanced care planning (ACP) training program incorporating online skills in shared decision making (SDM). Method: The New World Kirkpatrick Model was employed to assess the efficacy of the training program at four levels: reaction, learning, behavior, and results. Reaction measured the participants’ satisfaction and difficulty with the training program alongside the status of support received from workplaces engaging in ACP. Learning evaluated the changes in SDM skills. Behavior assessed the changes in the relationship between patients and healthcare professionals when the latter were involved in the SDM process. Results evaluated whether the participants were willing to participate in ACP educational programs as a facilitator and whether their motivation for continuous learning changed through throughout the training program. The relationships among patients, healthcare providers, and third-party roles were analyzed in SDM role-playing via structural equation modeling (SEM). Results: Between September 2020 and June 2022, 145 multidisciplinary participants completed the entirety of the training program. The most common responses to the training were “satisfied”, “slightly difficult”, and “I received some support from my workplace”. The SDM skills significantly improved from the first to the third workshop, evaluated using the Wilcoxon rank-sum test. In the first workshop, SDM was primarily performed by healthcare providers; however, in the third workshop, patient-centered SDM was adopted. Of the participants who completed the program, 63% intended to participate in future ACP educational programs as ACP education facilitators. Conclusion: This study ascertained the validity of this training. Full article
(This article belongs to the Special Issue Perspectives in Family Medicine and Primary Care of Older People)
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2 pages, 169 KiB  
Correction
Correction: Goto, Y.; Miura, H. Evaluation of an Advanced Care Planning Training Program Incorporating Online Skills in Shared Decision Making: A Preintervention and Postintervention Comparative Study. Healthcare 2023, 11, 1356
by Yuko Goto and Hisayuki Miura
Healthcare 2023, 11(15), 2138; https://doi.org/10.3390/healthcare11152138 - 26 Jul 2023
Viewed by 634
Abstract
In the original publication [...] Full article
(This article belongs to the Special Issue Perspectives in Family Medicine and Primary Care of Older People)
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