title: The emerging role of the client in the delivery of primary care to older Americans.
abstract: OBJECTIVE
  To address the likely influences, on options faced by older clients, of specific changes in the delivery system and several possible responses to these changes and the changed options, by older persons in the aggregate.
  
  
  METHODS
  Four specific topics are discussed at length: (1) the probable altered role for the older healthcare client brought on by organizational changes; (2) findings from research on elderly health maintenance behavior and reasons for the increased importance of this issue; (3) the effectiveness of the conventional approach to explaining health services utilization in population studies; and (4) recommendations for future research into the direct or indirect influence of organizational changes in the primary healthcare system on the health-related decisions and behaviors of older persons.
authors.affiliation: School of Public Health, Saint Louis University, USA.
authors.forename: M A
authors.initials: MA
authors.lastname: Counte
mesh_terms: D000368:Aged; D003695:Delivery of Health Care / Q000458:organization & administration; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000458:organization & administration / Q000639:trends; D006302:Health Services Research / Q000458:organization & administration; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000458:organization & administration*; D014481:United States