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Ageism in the Health Care System: Providers, Patients, and Systems
Open accessAbstract
Older adults are major consumers of health care. Within the context of an ageing society, their presence in the health care system will continue to grow. Ageist stereotypes and discrimination against older adults have an impact on the health and well-being of older citizens and are potential barriers to health equality. This chapter addresses ageism at different levels of the health care setting with a review of empirical research and health care policy. At the micro (personal) level, manifestations of ageism include attitudes toward older adults among physicians, nurses, and other health care professionals. Ageist communication styles used with older patients, age-biased clinical decision-making regarding diagnostics and treatments, and self-directed ageism in older patients are also discussed. Macro-level (institutional or structural) aspects of ageism are then examined, as reflected in health care reimbursement structures, participation of older adults in clinical trials, institutional policies governing care, and the lack of emphasis on geriatric-specific training for health care professionals. The chapter closes with an integration of the findings and a discussion of the challenges in identifying and reducing ageism in this setting. Conclusions are drawn and recommendations for future research and practice are made.
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“It also manifests in numerous settings, such as the workplace and the health care system.”
From Centering Age Inequality: Developing a Sociology-of-Age Framework (2022) · cites this paper as Wyman et al. 2018
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“Older adults are more likely to be treated in a patronizing manner and to have their concerns dismissed by health care providers, who may attribute them to the declines that are assumed to inevitably occur with age (Estes & Binney 1989, Wyman et al. 2018).”
From Centering Age Inequality: Developing a Sociology-of-Age Framework (2022) · cites this paper as Wyman et al. 2018
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“In the health care system, ageism is also prevalent and often discounted.”
From Centering Age Inequality: Developing a Sociology-of-Age Framework (2022) · cites this paper as Wyman et al. 2018
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“Consistent with this observation, older adults are more likely to receive inadequate or delayed screening and treatment-or to be denied them altogether due to age-based rationing (Wyman et al. 2018).”
From Centering Age Inequality: Developing a Sociology-of-Age Framework (2022) · cites this paper as Wyman et al. 2018
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Interventions to Reduce Ageism Against Older Adults: A Systematic Review and Meta-Analysis
Burnes, D. P. R., Sheppard, C. L., Henderson, C., Wassel, M., Cope, R., Barber, C., & Pillemer, K. A. (2019) · American Journal of Public Health · doi:10.2105/ajph.2019.305123 · Cited by 838
COVID-19 and ageism: How positive and negative responses impact older adults and society.
Monahan, C., Macdonald, J. L., Lytle, A. E., Apriceno, M., & Levy, S. R. (2020) · American Psychologist · doi:10.1037/amp0000699 · Cited by 280
Coronavirus, Ageism, and Twitter: An Evaluation of Tweets about Older Adults and COVID ‐19
Jimenez‐Sotomayor, M. R., Gómez‐Moreno, C., & Soto‐Pérez‐de‐Celis, E. (2020) · Journal of the American Geriatrics Society · doi:10.1111/jgs.16508 · Cited by 215
Ageism in Mental Health Assessment and Treatment of Older Adults
Bodner, E., Palgi, Y., & Wyman, M. F. (2018) · International perspectives on aging · doi:10.1007/978-3-319-73820-8_15 · Cited by 143
Self-citationXiang, X., Lü, X., Halavanau, A., Xue, J., Sun, Y., Lai, P. H. L., & Wu, Z. (2020) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbaa128 · Cited by 119
Metadata
- Authors
- Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J.
- Affiliations
- University of Wisconsin–Madison (US)
- University of Freiburg (DE)
- Corresponding author
- Wyman, Mary F.
- Venue
- International Perspectives on Aging
- Publisher
- Springer International Publishing
- Published
- 2018
- Pages
- 193-212
- ISSN
- 2197-5841 (ISSN-L)
- 2197-585X
- OpenAlex
- W2804527861
- Cited by
- 263
- References
- 106
- Citations by year
- 2026: 25 · 2025: 37 · 2024: 35 · 2023: 36 · 2022: 44 · 2021: 41 · 2020: 29 · 2019: 10 · 2018: 5
- FWCI
- 57.21
- Type
- book chapter
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- International perspectives on aging (publishedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- ageism, ageism in healthcare, older adults, ageist stereotypes, age discrimination, health care reimbursement, clinical trials in older adults, geriatric training, health equality, health policy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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