PPC Shows Potential for Improving Outcomes for Older Adults with Multiple Chronic Conditions
By Crystal Gwizdala
In a new JAMA Network Open study, researchers explored the impact of Patient Priorities Care (PPC) on older adults with multiple chronic conditions. PPC is an approach to care that addresses the what Matters Most “M” of the Age-Friendly Healthcare Systems 4Ms framework by identifying patients’ health priorities and aligning care and decision-making around those priorities.
The nonrandomized clinical trial conducted at a Cleveland Clinic primary care multisite practice, co-led by Mary E. Tinetti, MD, Gladys Phillips Crofoot Professor of Medicine (Geriatrics) and Ardeshir Hashmi, MD, endowed chair of Geriatric Innovation and section chief of Cleveland Clinic’s Center for Geriatric Medicine, showed trends toward greater likelihood of shared decision-making, decreased treatment burden, and decreased number of nonhealthy days – the number of days in the hospital, emergency department, skilled nursing facility, or ambulatory facility for a prolonged procedure.