title: Independent Living Oldest Old and Their Primary Health Provider: A Mixed Method Examination of the Influence of Patient Personality Characteristics.
abstract: This convergent mixed methods study examined 35 healthy, independent living individuals' (above 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals above 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest old was found. Few participants indicated their PHP had discussed normal changes with aging. This study has deepened understanding of the complexity inherent to the healthy oldest olds' relationship with their PHP. The findings suggest this relationship relates to the PHP's personal characteristics, the older adult patients' personality, and the influence of the accompanying patient escort.
authors.affiliation: Walden University, Minneapolis, MN, USA leann.stadtlander@waldenu.edu.
authors.forename: Lee M
authors.initials: LM
authors.lastname: Stadtlander
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Giles
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Sickel
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Brooks
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Cherri
authors.initials: C
authors.lastname: Brown
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Cormell
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Lara
authors.initials: L
authors.lastname: Ewing
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Delores
authors.initials: D
authors.lastname: Hart
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Koons
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Christy
authors.initials: C
authors.lastname: Olson
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Pamela
authors.initials: P
authors.lastname: Parker
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Veronica
authors.initials: V
authors.lastname: Semenova
authors.affiliation: Walden University, Minneapolis, MN, USA.
authors.forename: Shawna
authors.initials: S
authors.lastname: Stoneking
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006282:Health Personnel; D006801:Humans; D057187:Independent Living / Q000523:psychology*; D007407:Interviews as Topic; D008297:Male; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D055500:Resilience, Psychological; D020377:Self Efficacy
keywords: health care; health care provider–patient; mixed method; oldest old; physician satisfaction