Veronica Vicente, Maaret Castren, Fredrik Sjöstrand, Birgitta W Sundström

“Elderly patients’ participation in emergency medical services when offered an alternative care pathway”

Int J Qual Stud Health Well-being, 2013, Feb 26, 8, 20014.


The choice of health care when being offered an alternative care pathway by the emergency medical services.

Ambulance service and a geriatric ward

Semi structured Interviews with 11 older adults (9 women, 2 men)

Patient participation

Interpersonal relationship

Patient and career in the ambulance service

“There was a ray of hope about a caring encounter and about being treated like a unique human being.” Participation is about being seen and cared about.

To be treated with an open and friendly attitude, respect integrity by creating an atmosphere where older adults gain courage to express their needs.


Vernee N. Belcher, Terri R. Fried, Joseph V. Agostini, Mary E. Tinetti

“Views of older adults on patient participation in medication-related decision making”

Journal of General Internal Medicine, 2006, 21, 298-303.


Older adults were recruited from senior centers and from primary care practice.

Interviews 51 older adults 65 - 89 years

Participation in medication-related decision making

Physicians’ attitudes and behaviors as well as system factors were obstacles or could facilitate participation.

Physician and system factors that were felt to facilitate or impede patient participation included communication skills, the expanding number of medications available, multiple physicians prescribing for the same patient, and a focus on treating numbers

Patients and physicians

Participation can be on different levels.

Physician can facilitate participation, asking questions, being active in decision making, let the patients’ know about their medications and conditions, trust the physician. The role of the physician was important to participation.

Not all patients WANT to participate in decision making(that is also participation).


Hilde Bastiaens, Paul Van Royen, Danica RotarPavlic, Victor Raposo, Richard Baker

“Older people’s preferences for involvement in their own care:

a qualitative study in primary health care in 11 European countries”

Patient Education and Counseling, 2007, 68, 33-42.


Older adults within primary care

Semi structured interviews with 406 older adults (222 women, 184 men) in 11 countries 70 - 96 years.

Patient participation

Patient involvement in care

Patients and general practitioners

Good communication, building a trusting relationship, being respected, having enough time and receiving information.

A”caring environment” is more important than the outcome of involvement.

An important base for patient involvement is the doctor, practice, and health care organization.