title: Healthcare providers' perspectives: estimating the impact of chronicity.
abstract: OBJECTIVE
  To compare elders' self-ratings of the impact of their chronic conditions with healthcare providers' estimates of the impact of the same conditions on older adults. The effect of length of time in clinical practice and rural or urban clientele on healthcare providers' impact ratings was also explored.
  
  
  METHODS
  A pen-and-paper survey was administered to 122 community-dwelling adults aged 55 years and older, attending health education or exercise programs held by a hospital in a city of approximately 60,000 people. Elders were asked to identify which of 11 common chronic conditions they had and then to rate the impact each condition had on their daily lives. A sample of 290 healthcare providers who are members of the Gerontological Society of America completed a mailed survey asking them to estimate the impact that each of the 11 conditions had on older adults.
  
  
  CONCLUSIONS
  Healthcare providers consistently overestimated the impact that chronic health conditions had on older adults when compared with the elders' self-ratings of impact. Greater levels of experience were not significantly related to providers' impact ratings of chronic conditions.
  
  
  CONCLUSIONS
  Nurse practitioners, as primary care providers, must understand the impact of chronic conditions on older adults' daily lives in order to provide effective, efficient, and evidence-based health care. This study points to the need for more research to discover why older adults and healthcare providers have such different perspectives on the impact of chronic health conditions.
authors.affiliation: Family Nurse Practitioner Program, School of Nursing, Pennsylvania State University, University Park 16802, USA.
authors.forename: Sharon K
authors.initials: SK
authors.lastname: Falkenstern
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Loeb
authors.forename: Sarah H
authors.initials: SH
authors.lastname: Gueldner
authors.forename: Janice
authors.initials: J
authors.lastname: Penrod
authors.forename: Leonard W
authors.initials: LW
authors.lastname: Poon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002908:Chronic Disease / Q000523:psychology*; D017281:Cost of Illness; D005260:Female; D015577:Geriatric Assessment; D005853:Geriatrics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role; D012111:Residence Characteristics; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D013997:Time Factors