Evidence map›Paper›PMID 38851670›Full record

ArticleBMC primary care2024

Who do patients depend on as they age and for what medical needs? An exploratory study of Chinese and Latino primary care patients.

Jennifer Livaudais-Toman, Celia P Kaplan, Leah S Karliner

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jennifer Livaudais-TomanDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA. Jennifer.Toman@ucsf.edu.
Celia P KaplanDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Leah S KarlinerDepartment of Medicine, Division of General Internal Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.

Funding

Mentoring Researchers on Clinical Communication With Diverse Aging PopulationsK24AG067003 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KARLINER, LEAH S · 2021 to 2025
$943k
NIA NIH HHS Award K24AG067003NIA NIH HHS K24 AG067003Patient Patient-Centered Outcomes Research Institute (PCORI) Award AD-1409-23627
6 · The paper itself

Abstract

backgroundAs the U.S. population ages, family members increasingly act as informal caregivers, particularly for minority patients and those with limited English proficiency (LEP). However, physicians often do not identify or engage caregivers until there is a health crisis. This study aims to further our understanding of characteristics associated with having a caregiver present at a primary care visit, and better understand the specific roles family caregivers engage in to support older Chinese and Latino primary care patients.

methodsPrimary care patients were surveyed by telephone in a study of language access and communication. Participants included Chinese and Latino primary care patients (≥ 65 years old) from an academic general medicine practice. We asked patients if anyone was in the room with them during their most recent primary care visit (yes = caregiver accompanied). We asked about caregiving support for various needs, and examined associations of patient and visit characteristics with being accompanied, and frequency of caregiver support roles overall and by caregiver accompaniment.

resultsAmong 906 participants, 80% preferred a non-English language, 64% were women, 88% had Medicare, and mean age was 76 years (range 65-97). 43% were accompanied to their most recent visit. Speaking English 'not at all' vs. 'very well' was associated with being caregiver accompanied (OR 3.5; 95% CI 1.3-9.7), as was older age ≥ 75 vs. 65-74 (OR 2.7; 95% CI 2.0-3.7). The most common roles being supported by caregivers included: transportation to medical appointments (63%), helping with medical decisions (60%), and talking with the doctor about the patient's medical care (54%). Even among unaccompanied patients, substantial proportions reported caregiver support with medical decisions (45%), talking with the doctor (33%), and medical needs at home (26%).

conclusionsOpportunities for physicians to engage caregivers who have active support roles may be missed, especially if those caregivers are not present at the visit. Future interventions should aim to help physicians identify which patients have caregivers and for what needs, so they may effectively engage caregivers before a health crisis occurs.

Indexed as

AsianCaregiversHispanic or LatinoPrimary Health CareAgedAged, 80 and overAge FactorsCommunication BarriersFemaleHealth Services Needs and DemandHumansLimited English ProficiencyMalePhysician-Patient RelationsUnited StatesAgingCaregiver rolesInformal caregiversLimited English proficiency (LEP)

Identifiers

PMID38851670
PMCPMC11161952

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.