Résumé :
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[BDSP. Notice produite par INIST-CNRS sHR0x6hO. Diffusion soumise à autorisation]. The objective of this study, undertaken in the USA, was to investigate the consequences of autonomy-related companion behaviors on patient decision-making activity during geriatric primary care visits. Videotapes were analyzed to characterize patient and companion decision-making activity and related companion behaviors. These behaviors were coded throughout the visit using an autonomy-based framework that included both autonomy enhancing (i.e. facilitating patient understanding, patient involvement, and doctor understanding) and detracting behaviors, (i.e. controlling the patient and building alliances with the physician). Patients (N=93) in this cross-sectional sample range in age from 65 to 95 years and are mostly white (n=73,79%) and female (n=67,72%). Companions are spouses (n=42,46%), adult children (n=33,36%), or other relatives and friends (n=15,16%) of patients. Companions are active participants in medical visits and engage in more autonomy enhancing than detracting behaviors. Companions of sicker (compared with less sick) patients were more likely to facilitate patient understanding, p<. doctor understanding p and patient involvement in care. patients whose companions facilitated their the medical visit by asking questions prompting to talk for opinion were more than four times as likely be active decision-making did not assist this manner or ci adjusted can play an important role visits of geriatric facilitating communication throughout well activity decision-making.>
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